Active NPI
Jassimine Davis, O.D.
- Optometrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008517
- Practice address
- 337 Knickerbocker Ave
Brooklyn, NY 11237-8051 - Phone
- (718) 475-6518
- NPI assigned
- Sep 22, 2016
- Last updated
- Sep 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 008517 | NY | Primary |
Addresses
Primary practice location
337 Knickerbocker Ave
Brooklyn, NY 11237-8051
Mailing address
105 Monroe St
Mount Vernon, NY 10553-1440
Phone (914) 426-3497
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008517 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Cooper O.D., P.C. | Optometrist | Current | Accepting new patients |
| Jeffrey Cooper O.D., P.C. | Optometrist | Current | Accepting new patients |
| Jeffrey Cooper O.D., P.C. | Optometrist | Current | Accepting new patients |
| Jeffrey Cooper O.D., P.C. | Optometrist | Past | Accepting new patients |
| Jeffrey Cooper O.D., P.C. | Optometrist | Past | Accepting new patients |
Locations
1038 Southern Blvd
Bronx, NY 10459
Phone (718) 328-7137
1332 Metropolitan Ave
Bronx, NY 10462
Phone (718) 828-6200
25 Westchester Sq
Bronx, NY 10461
Phone (718) 597-6162
815 Hutchinson River Pkwy
Bronx, NY 10465
Phone (718) 536-2690
815 Hutchinson River Pkwy
Ste 797
Bronx, NY 10465
Phone (718) 569-5680
161 S Central Ave
Hartsdale, NY 10530
Phone (914) 902-8845
Organizations & group practices 5
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.
-
dba Cooper Panariello Eye Institute
- Optometrist
- Brooklyn, NY
- NPI 1760245609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474502400000",
"number": "1760931521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MONROE ST",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105531440",
"telephone_number": "914-426-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 KNICKERBOCKER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112378051",
"telephone_number": "718-475-6518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JASSIMINE",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.