Individual provider Active NPI

Chaya Mouchka Hasis

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1184590184
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004287 Issued in PA
Practice address
2108 Borbeck Ave
Philadelphia, PA 19152-3725
Phone
(347) 701-0246
NPI assigned
Oct 15, 2025
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004287 PA Primary

Addresses

Primary practice location

2108 Borbeck Ave
Philadelphia, PA 19152-3725

Mailing address

2108 Borbeck Ave
Philadelphia, PA 19152-3725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004287PAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1184590184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 BORBECK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 BORBECK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191523725",
            "telephone_number": "347-701-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASIS",
        "first_name": "CHAYA MOUCHKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.