Organization Active NPI

Eagle Vision Eye Care Corporation

  • Optometrist
  • Commack, NY
National Provider Identifier
1588543763
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EAGLE VISION EYE CARE CORPORATION
Practice address
38 Vanderbilt Motor Pkwy
Commack, NY 11725-5410
Phone
(347) 294-9853
NPI assigned
Sep 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

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

Authorized official

Name
Dr. Marwan Kassim, ODNPI 1881267185
Title
Provider
Phone
(347) 294-9853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

38 Vanderbilt Motor Pkwy
Commack, NY 11725-5410

Mailing address

38 Vanderbilt Motor Pkwy
Commack, NY 11725-5410
Phone (347) 294-9853

Other names 2

  • Cohens Fashion Optical Doing business as
  • Marwan Kassim Other name

National Provider Directory

National Provider Directory

Locations

38 Vanderbilt Motor Pkwy
Commack, NY 11725
Phone (347) 294-9853

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1756684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756684800000",
    "number": "1588543763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 VANDERBILT MOTOR PKWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255410",
            "telephone_number": "347-294-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 VANDERBILT MOTOR PKWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255410",
            "telephone_number": "347-294-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VISION EYE CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-01",
        "last_updated": "2025-09-01",
        "certification_date": "2025-08-31",
        "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_name_prefix": "Dr.",
        "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": "Cohens Fashion Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marwan Kassim",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.