Chaya Mouchka Hasis

Individual provider Active NPI Optometrist · Philadelphia, PA

NPI 1184590184 · NPPES record last updated Oct 15, 2025

Key facts

NPI
1184590184
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
OEG004287 (PA)
Practice address
2108 Borbeck Ave
Philadelphia, PA 19152-3725
Phone
(347) 701-0246
NPI assigned
Oct 15, 2025
Sex
Female
Sole proprietor
No

Medicare Care Compare profile

Specialty
Optometry
Education
Drexel University College of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2108 Borbeck Ave
Philadelphia, PA 19152-3725

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OEG004287PAMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004287 PA Yes

Addresses

Primary practice location

2108 Borbeck Ave
Philadelphia, PA 19152-3725

Mailing address

2108 Borbeck Ave
Philadelphia, PA 19152-3725

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Optometrist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.