Eli David Kassin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV003881 Issued in NY

Practice address

5520 Glenwood Rd
Brooklyn, NY 11234

Phone

(718) 763-7777

NPI assigned

Jan 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bonafide Opticians of Ave L Inc

  dba Bonafide Opticians

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
  • NPI 1083647705
  Medicare reassignment NPD
• Harold D Weiss DDS PC

  dba Lawrence J Weiss, DDS

  • Dental Clinic/Center
  • Brooklyn, NY
  • NPI 1760467039
  NPD (past)
• TSC SLP P.C.

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1710414529
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699824920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-763-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 GLENWOOD RD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11234",
            "telephone_number": "718-763-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASSIN",
        "first_name": "ELI",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV003881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00996901",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elia Kassab, M.D.
• Jack Kassab, DDS
• Maggie Kassab, PHARM.D.
• Husam Kassem, PHARMD
• Christian Samir Kassicieh, DO
• Esther Liliane Kassin, DPT
• Lillian Kassin, PA-C
• Sarah Kassin, MS OTR/L
• Raizel Kassirer
• Emma Kassonon

• Optometrist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.