Individual provider Active NPI

Hassan Elhage, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1639924855
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
010004 Issued in NY
Practice address
8310 5TH Ave
Brooklyn, NY 11209-4571
Phone
(718) 680-2020
NPI assigned
Apr 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 010004 NY Primary

Addresses

Primary practice location

8310 5TH Ave
Brooklyn, NY 11209-4571

Mailing address

8310 5TH Ave
Brooklyn, NY 11209-4571
Phone (718) 680-2020

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
I20250307001895 NY Practitioner - Optometry 5890216782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Ridge Vision Center LLCGroup PAC ID 4284994047, 2 clinicians

Practice addresses (Care Compare)

8310 5TH Ave
Brooklyn, NY 11209-4511

8310 5TH Ave
Brooklyn, NY 11209-4571
Phone (718) 680-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Ridge Vision Center LLC Optometrist CurrentSince Jan 1, 2025 Accepting new patients

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": "1713744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1639924855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094571",
            "telephone_number": "718-680-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112094571",
            "telephone_number": "718-680-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHAGE",
        "first_name": "HASSAN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "010004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.