Organization Active NPI

Super Vision Eye Care of Middle Village Inc

  • Optometrist
  • Middle Village, NY
National Provider Identifier
1245026426
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SUPER VISION EYE CARE OF MIDDLE VILLAGE INC
Doing business as
Marwan Kassim
Super Vision Family Eye Care
Practice address
7514 Metropolitan Ave
Middle Village, NY 11379-2639
Phone
(718) 894-9040
NPI assigned
Apr 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Marwan Kassim, OD
Title
Provider
Phone
(347) 294-9853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7514 Metropolitan Ave
Middle Village, NY 11379-2639

Mailing address

7514 Metropolitan Ave
Middle Village, NY 11379-2639
Phone (718) 894-9040

Other names 2

  • Marwan Kassim Doing business as
  • Super Vision Family Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

7514 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 889-9040

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1245026426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7514 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792639",
            "telephone_number": "718-894-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7514 METROPOLITAN AVE",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792639",
            "telephone_number": "718-894-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER VISION EYE CARE OF MIDDLE VILLAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "KASSIM",
        "authorized_official_first_name": "MARWAN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "347-294-9853",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marwan Kassim",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Super Vision Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.