Individual provider Active NPI

Rania Dabagh

  • Optometrist
  • New York, NY
National Provider Identifier
1326429044
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008330 Issued in NY
Practice address
1166 Avenue of the Americas
New York, NY 10036-2708
Phone
(212) 302-4889
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008330 NY Primary

Addresses

Primary practice location

1166 Avenue of the Americas
New York, NY 10036-2708

Mailing address

57 Front St
Apt 704
Brooklyn, NY 11201-1237
Phone (917) 282-4796

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
I20150910000724 NY Practitioner - OptometryPractitioner - Ophthalmology 8628385580 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Vision Optometry PCGroup PAC ID 2365848165, 32 clinicians
Stella Douros MD PCGroup PAC ID 7012970866, 4 clinicians

Practice addresses (Care Compare)

260 Christopher LN
Suite 102a
Staten Island, NY 10314-1631
Phone (646) 921-1738

7501 6TH Ave
1St FL
Brooklyn, NY 11209-3315
Phone (718) 238-2336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stella Douros MD PC CurrentSince May 8, 2024 Accepting new patients
Eye Care Vision Optometry P.C. Optometrist CurrentSince Aug 24, 2023 Accepting new patients
Wise Medical Ny PC Optometrist CurrentSince Feb 1, 2023 Accepting new patients

Locations

311 W 231st St
Bronx, NY 10463
Phone (718) 601-8400

7501 6th Ave
Brooklyn, NY 11209
Phone (718) 238-2336

5314 16th Ave
Brooklyn, NY 11204
Phone (855) 629-2431

7501 6th Ave
Fl 1
Brooklyn, NY 11209
Phone (718) 238-2336

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

14461 38th Ave
Flushing, NY 11354
Phone (212) 739-1799

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

Interoperability endpoints

  • Direct secure messaging: rdabaghod@drdouros.direct.eyemdemr.com
  • Direct secure messaging: rdabagh3834332@nychhc.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1326429044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 FRONT ST",
            "address_2": "APT 704",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011237",
            "telephone_number": "917-282-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 AVENUE OF THE AMERICAS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100362708",
            "telephone_number": "212-302-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABAGH",
        "first_name": "RANIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.