Super Vision Eye Care of Maspeth Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SUPER VISION EYE CARE OF MASPETH INC

Practice address

6911 Grand Ave
Maspeth, NY 11378-1812

Phone

(718) 458-5055

NPI assigned

Apr 16, 2025

Organization subpart

No

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

Authorized official

Name

Marwan Kassim, ODNPI 1881267185

Title

Provider

Phone

(347) 294-9853

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marwan Y Kassim, OD

  • Optometrist
  • Bronx, NY
  • NPI 1881267185
  NPD (past) Authorized official
• James John Gaudio, O.D.

  • Optometrist
  • Maspeth, NY
  • NPI 1619902996
  NPD (past)

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": "1427844604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6911 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781812",
            "telephone_number": "718-458-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6911 GRAND AVE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781812",
            "telephone_number": "718-458-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPER VISION EYE CARE OF MASPETH 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": []
}

• Monica Priscilla Siu
• Steven Mehl, D.P.M., P.C.
• Ewa Stypulkowska
• Fernando Leon Suarez, PHYSICAL THERAPY
• Sunbelt Home Care, Inc.
• Support Medical Supply Inc
• Martin Sussman, LCSW
• Teresa Mary Sweeney, MSED
• Halina Szlaszynska, MD
• Elzbieta Ewa Szura

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

• 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.