Nusrat Jahan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV009918 Issued in NY

Practice address

385 Route 25a Unit 6
Miller Place, NY 11764-2501

Phone

(631) 642-8400

Fax

(631) 642-8403

NPI assigned

Nov 9, 2023

Last updated

Apr 24, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

State University of New York - State College Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

200 West Optics LLCGroup PAC ID 5395144380, 38 clinicians

We Eye Care IncGroup PAC ID 5799182564, 3 clinicians

Nyc Optical Group 1 IncGroup PAC ID 5193171056, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 200 West Optics, LLC

  dba MyEyeDr.

  • Optometrist
  • Brewster, NY
  • NPI 1831770890
  Medicare reassignment Care Compare group NPD
• Nyc Optical Group 1 Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1033803572
  Medicare reassignment Care Compare group NPD
• We Eye Care Inc

  • Optometrist
  • Staten Island, NY
  • NPI 1073251674
  Medicare reassignment Care Compare group NPD
• 200 West Optics, LLC

  • Optometrist
  • New York, NY
  • NPI 1205787520
  NPD
• 200 West Optics, LLC

  dba MyEyeDr.

  • Optometrist
  • Cortlandt Manor, NY
  • NPI 1477227668
  NPD
• Nyc Optical Group 1 Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1891683397
  NPD
• We Eye Care Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1881377141
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1063286078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 ROUTE 25A UNIT 6",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642501",
            "telephone_number": "631-642-8400",
            "fax_number": "631-642-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 ROUTE 25A UNIT 6",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642501",
            "telephone_number": "631-642-8400",
            "fax_number": "631-642-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAHAN",
        "first_name": "NUSRAT",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Mary Hovagim, RN
• Thomas J Ianniello, D.C.
• Ilene a. Brickley, PLLC
• Interbeing Wellness LCSW PLLC
• Lissette Anne Ippolito, LPN
• James R Jordan Ms, NCC, Licensed Mental Health Counselor, PLLC
• Elzbieta Jaromin
• JJR Lifecare Inc
• Erin Johnson, PTA
• Joan Jones, R.N.

• Optometrist in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.