Individual provider Active NPI

Dina Mayzel, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1396223038
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008845-1 Issued in NY
Practice address
254 Brighton Beach Ave
Brooklyn, NY 11235-7427
Phone
(718) 769-9800
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008845-1 NY Primary

Addresses

Primary practice location

254 Brighton Beach Ave
Brooklyn, NY 11235-7427

Mailing address

254 Brighton Beach Ave
Brooklyn, NY 11235-7427

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
I20180912003145 NY Practitioner - Optometry 1951651934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ocean View Optical of Brooklyn IncGroup PAC ID 2163492745, 3 clinicians

Practice addresses (Care Compare)

254 Brighton Beach Ave
Brooklyn, NY 11235-7427
Phone (718) 769-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
008845NYMDMental Health Counselor
TUV008845-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oceanview Optical of Brooklyn Inc Optometrist CurrentSince Jul 21, 2018 Accepting new patients

Locations

254 Brighton Beach Ave
Brooklyn, NY 11235
Phone (718) 769-9800

Organizations & group practices 1

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1396223038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 BRIGHTON BEACH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357427",
            "telephone_number": "718-769-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYZEL",
        "first_name": "DINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008845-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.