Individual provider Active NPI

Summra Masood, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1609848522
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT006948 Issued in NY
Practice address
33 W 42ND St
New York, NY 10036-8003
Phone
(212) 938-4000
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X VUT006948 NY Primary

Addresses

Primary practice location

33 W 42ND St
New York, NY 10036-8003

Mailing address

217 Bloomfield Ave
Iselin, NJ 08830-2225
Phone (732) 283-0324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3202CTMDProfessional Counselor
14087CAMDClinical Social Worker
VUT006948NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mintz Family Optometry, Apc Optometrist CurrentSince Sep 10, 2012 Accepting new patients
State of New York Comptrollers Office Optometrist Past Accepting new patients
United Eye Care Providers, LLC Optometrist PastSince Jan 18, 2017 Accepting new patients

Locations

553 N Mountain Ave
Upland, CA 91786
Phone (909) 985-2876

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1609848522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 BLOOMFIELD AVE",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "088302225",
            "telephone_number": "732-283-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368003",
            "telephone_number": "212-938-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOOD",
        "first_name": "SUMMRA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT006948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.