Shira Nissel, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

007881 Issued in NY

Practice address

30 E 40TH St
203
New York, NY 10016-1201

Phone

(212) 889-3550

NPI assigned

Jun 27, 2012

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: snissel@zwerlingeye.intellechartdirect.net

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

• Visual Optometry PLLC

  • Optometrist
  • Brooklyn, NY
  • NPI 1871351155
  Medicare reassignment
• Jeffrey F Zwerling MD PC

  • Ophthalmology Physician
  • Rockaway Park, NY
  • NPI 1316982945
  NPD

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1275897936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST",
            "address_2": "RM 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161248",
            "telephone_number": "212-889-3550",
            "fax_number": "212-696-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST",
            "address_2": "203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161201",
            "telephone_number": "212-889-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSEL",
        "first_name": "SHIRA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noora Johanna Niskanen, LCSW
• Barton Nisonson, MD
• Gabriella Nissan, PSY.D.
• Noam Nissan
• Atara Nissel, PA
• Michael Nissen, M.D.
• Julie A Nissim, D.O
• Sharona Nissimi, M.A., CCC-SLP
• Donna Kathy Nissman, PSYD
• Paul Brett Nissman, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.