Active NPI
Marwan Y Kassim, OD
- Optometrist
- Bronx, NY
National Provider Identifier
1881267185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009401
- Practice address
- 668 E Tremont Ave
Bronx, NY 10457-4929 - Phone
- (718) 887-9475
- NPI assigned
- Jul 23, 2021
- Sex
- Male
- 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 | 009401 | NY | Primary |
Addresses
Primary practice location
668 E Tremont Ave
Bronx, NY 10457-4929
Mailing address
8915 209TH St FL 1
Queens Village, NY 11427-2222
Phone (347) 294-9853
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 |
|---|---|---|---|
| 009401 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lens Lab of Junction Boulevard Inc | Optometrist | Current | Accepting new patients |
| Davis Eye Care and Optical | Optometrist | Current | Accepting new patients |
| New Vision Eye Care Consultants Inc | Current | Accepting new patients | |
| Eagle Vision Eye Care Corporation | Optometrist | Past | Accepting new patients |
| Super Vision Eye Care of Maspeth Inc | Optometrist | Past | Accepting new patients |
Locations
3740 Junction Blvd
Corona, NY 11368
Phone (718) 507-8114
500 Hempstead Tpke
West Hempstead, NY 11552
Phone (516) 489-2262
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.
-
dba Cohens Fashion Optical
- Eyewear Supplier
- West Hempstead, NY
- NPI 1154169464
-
- Optometrist
- Maspeth, NY
- NPI 1427844604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1881267185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8915 209TH ST FL 1",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114272222",
"telephone_number": "347-294-9853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "668 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104574929",
"telephone_number": "718-887-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSIM",
"first_name": "MARWAN",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.