Individual provider Active NPI

Masuda Hossain, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1831401629
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007555-1 Issued in NY
Practice address
743 Church Ave
Brooklyn, NY 11218-3305
Phone
(718) 871-5152
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007555-1 NY Primary

Addresses

Primary practice location

743 Church Ave
Brooklyn, NY 11218-3305

Mailing address

570 19TH Street
Brooklyn, NY 11218-1011

Other practice location 1

93 Seeley St
Apt 1
Brooklyn, NY 11218-1011
Phone (347) 218-0623

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
I20110208000247 NY Practitioner - Optometry 9032399183 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007555-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mermaid Optical Optometrist Past Accepting new patients
A & a Optical Inc Optometrist PastSince Sep 10, 2009 Accepting new patients

Organizations & group practices 3

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831401629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 19TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112181011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 CHURCH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183305",
            "telephone_number": "718-871-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Seeley St",
            "address_2": "Apt 1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112181011",
            "country_code": "US",
            "telephone_number": "347-218-0623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSSAIN",
        "first_name": "MASUDA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007555-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.