Individual provider Active NPI

Natasha Decker, O.D.

  • Optometrist
  • Victor, NY
National Provider Identifier
1679636153
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006964 Issued in NY
Practice address
274 W Main St
Victor, NY 14564-1157
Phone
(585) 924-4430
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006964 NY Primary

Addresses

Primary practice location

274 W Main St
Victor, NY 14564-1157

Mailing address

274 W Main St
Victor, NY 14564-1157
Phone (585) 924-4430

Other names 1

  • Dr. Natasha Hakim Former name

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
I20070803000455 NY Practitioner - Optometry 4789775826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
C and R Vision Center IncGroup PAC ID 3274592167, 4 clinicians

Practice addresses (Care Compare)

274 W Main St
Victor, NY 14564-1157
Phone (585) 924-4430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006964NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
C & R Vision Center Inc CurrentSince Jan 21, 2010 Accepting new patients

Locations

274 W Main St
Victor, NY 14564
Phone (585) 924-3250

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1679636153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 W MAIN ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641157",
            "telephone_number": "585-924-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 W MAIN ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641157",
            "telephone_number": "585-924-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKER",
        "first_name": "NATASHA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHA",
            "last_name": "HAKIM",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.