Individual provider Active NPI

Semir Markisic, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1114579562
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009023 Issued in NY
Practice address
148 7TH Ave
Brooklyn, NY 11215-2271
Phone
(718) 399-1825
NPI assigned
Jul 15, 2019
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009023 NY Primary

Addresses

Primary practice location

148 7TH Ave
Brooklyn, NY 11215-2271

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190920000874 NY Practitioner - Optometry 0648500421 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
200 West Optics LLCGroup PAC ID 5395144380, 38 clinicians

Practice addresses (Care Compare)

1765 Central Park Ave
Yonkers, NY 10710-2828
Phone (914) 961-1004

326 7TH Ave
Brooklyn, NY 11215-4105
Phone (917) 517-8907

326 TH 7TH Ave
Brooklyn, NY 11215-4105
Phone (917) 517-8907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
200 West Optics, LLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
4501 Nyc Optical LLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
1354 Nyc Optical LLC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
Nyc Optical Group LLC Optometrist CurrentSince Aug 1, 2019 Accepting new patients
589 Nyc Optical LLC Optometrist CurrentSince Oct 1, 2022 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients

Locations

1354 Pennsylvania Ave
Brooklyn, NY 11239
Phone (718) 642-3526

326 7th Ave
Brooklyn, NY 11215
Phone (718) 832-3513

4501 5th Ave
Brooklyn, NY 11220
Phone (718) 879-8171

482 86th St
Brooklyn, NY 11209
Phone (718) 879-8182

5623 5th Ave
Brooklyn, NY 11220
Phone (718) 635-9333

589 Sutter Ave
Brooklyn, NY 11207
Phone (347) 627-7896

1765 Central Park Ave
Yonkers, NY 10710
Phone (914) 961-1004

770 McLean Ave
Yonkers, NY 10704
Phone (914) 803-0500

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1114579562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152271",
            "telephone_number": "718-399-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKISIC",
        "first_name": "SEMIR",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-15",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.