Individual provider Active NPI

Dhekaa O Al Muntaser, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1750046413
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009484 Issued in NY
Practice address
180 Myrtle Ave
Brooklyn, NY 11201-7059
Phone
(917) 880-9561
NPI assigned
Nov 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 TUV009484 NY Primary

Addresses

Primary practice location

180 Myrtle Ave
Brooklyn, NY 11201-7059

Mailing address

180 Myrtle Ave
Brooklyn, NY 11201-7059
Phone (917) 880-9561

Other practice location 1

2478 Batchelder St
Brooklyn, NY 11235-1426
Phone (347) 282-8757

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
I20240311003010 NY Practitioner - Optometry 2860838000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Medical and Dental Center IncGroup PAC ID 8729070669, 107 clinicians
Eye Care Vision Optometry PCGroup PAC ID 2365848165, 32 clinicians

Practice addresses (Care Compare)

770 Flatbush Ave
Brooklyn, NY 11226-1902
Phone (347) 627-3988

918 James St
Syracuse, NY 13203-2503
Phone (646) 921-1738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009484NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Al Muntaser Optometry Optometrist CurrentSince Nov 19, 2023 Accepting new patients
Century Medical & Dental Center Inc CurrentSince Jan 30, 2024 Accepting new patients
Eye Care Vision Optometry P.C. Optometrist CurrentSince Mar 24, 2024 Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

770 Flatbush Ave
Brooklyn, NY 11226
Phone (347) 627-3988

260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855

200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399

1526 New Haven Ave
Far Rockaway, NY 11691
Phone (718) 471-7200

827 11th Ave
New York, NY 10019
Phone (212) 257-9778

260 Christopher Ln
Ste 102A
Staten Island, NY 10314
Phone (914) 370-4892

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

Organizations & group practices 4

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": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1750046413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017059",
            "telephone_number": "917-880-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MYRTLE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017059",
            "telephone_number": "917-880-9561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2478 Batchelder St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112351426",
            "country_code": "US",
            "telephone_number": "347-282-8757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL MUNTASER",
        "first_name": "DHEKAA",
        "middle_name": "O",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2024-03-07",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.