Individual provider Active NPI

Salvatore John Shakir, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1699751511
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV003585-1 Issued in NY
Practice address
2922 Avenue L
Brooklyn, NY 11210-4639
Phone
(718) 758-2020
Fax
(718) 513-6912
NPI assigned
Dec 22, 2005
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV003585-1 NY Primary
Optometrist 152W00000X TUV003585 NY

Addresses

Primary practice location

2922 Avenue L
Brooklyn, NY 11210-4639

Mailing address

2922 Avenue L
Brooklyn, NY 11210-4639
Phone (718) 513-6911

Other identifiers 1

IdentifierTypeStateIssuer
00844073MedicaidNY

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
I20110119001015 NY Practitioner - Optometry 5698898658 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2922 Ave L
Brooklyn, NY 11210-4639
Phone 7185136911109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TUV003585-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes & Optics Jacobi LLC CurrentSince Aug 1, 2025 Accepting new patients
Christine Chea O.D. P.C. Optometrist PastSince Jul 1, 2021 Accepting new patients

Locations

2922 Avenue L
Brooklyn, NY 11210
Phone (718) 513-6911

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1699751511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104639",
            "telephone_number": "718-513-6911",
            "fax_number": "718-513-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112104639",
            "telephone_number": "718-758-2020",
            "fax_number": "718-513-6912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "SALVATORE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003585-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003585",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00844073",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.