Individual provider Active NPI

Youssef Choucair, OD

  • Optometrist
  • Hollywood, FL
National Provider Identifier
1770125155
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5735 Issued in FL
Practice address
1050 N Federal Hwy
Hollywood, FL 33020-3540
Phone
(219) 210-1560
NPI assigned
Oct 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5735 FL
Optometrist 152W00000X OPC5735 FL Primary

Addresses

Primary practice location

1050 N Federal Hwy
Hollywood, FL 33020-3540

Mailing address

6833 SW 106TH CT
Miami, FL 33173-1391

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Mail@bravermaneyecenter.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191118000744 FL Practitioner - Optometry 6709218522 Reassigns benefits to 1 organization
I20230822003366 IN Practitioner - Optometry 6709218522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

2317 Franklin St
Michigan City, IN 46360-4540
Phone (219) 874-3211

Merit-based Incentive Payment System (MIPS)

Final score
55.99 of 100Reported as group
Quality
31.67
Improvement activities
40
Cost
78.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5735FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Stanley D Braverman MD LLC Optometrist CurrentSince Oct 13, 2019 Accepting new patients
Midwest Eye Consultants, PC Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Midwest Eye Consultants P.C. Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

1050 N Federal Hwy
Hollywood, FL 33020
Phone (954) 458-2112

374 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 395-1575

301 J St
Laporte, IN 46350
Phone (219) 326-9569

301 J St
#34
Laporte, IN 46350
Phone (219) 362-8923

2317 Franklin St
Michigan City, IN 46360
Phone (219) 874-3211

2317 Franklin St
#33
Michigan City, IN 46360
Phone (219) 874-3211

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1770125155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6833 SW 106TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331731391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 N FEDERAL HWY",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330203540",
            "telephone_number": "219-210-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUCAIR",
        "first_name": "YOUSSEF",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5735",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mail@bravermaneyecenter.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mail",
            "address_1": "1050 N Federal Hwy",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330203540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.