Individual provider Active NPI

Jassimine Davis, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1760931521
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008517 Issued in NY
Practice address
337 Knickerbocker Ave
Brooklyn, NY 11237-8051
Phone
(718) 475-6518
NPI assigned
Sep 22, 2016
Last updated
Sep 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170111000174 NY Practitioner - Optometry 7517248214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008517NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Cooper O.D., P.C. Optometrist CurrentSince Dec 26, 2023 Accepting new patients
Jeffrey Cooper O.D., P.C. Optometrist Current Accepting new patients
Jeffrey Cooper O.D., P.C. Optometrist CurrentSince Dec 26, 2023 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.

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

Verify at the official NPI Registry.