Individual provider Active NPI

Syeda Safura Hussaini

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1902457112
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009063 Issued in NY
Practice address
337 Harold St
Staten Island, NY 10314-4146
Phone
(347) 469-6675
NPI assigned
Sep 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009063 NY Primary

Addresses

Primary practice location

337 Harold St
Staten Island, NY 10314-4146

Mailing address

337 Harold St
Staten Island, NY 10314-4146
Phone (347) 469-6675

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
I20201230002018 NY Practitioner - Optometry 5991118432 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2018
Medicare assignment
May accept Medicare assignment
Group practices
1354 Nyc Optical LLCGroup PAC ID 2163807090, 3 clinicians
Linden Eye Care IncGroup PAC ID 8325349947, 4 clinicians
4501 Nyc Optical LLCGroup PAC ID 6406253657, 2 clinicians
We Eye Care IncGroup PAC ID 5799182564, 3 clinicians
589 Nyc Optical LLCGroup PAC ID 2860861846, 3 clinicians

Practice addresses (Care Compare)

1354 PA Ave
Brooklyn, NY 11239-2111
Phone (718) 642-3526

2084 Linden Blvd
Brooklyn, NY 11207-7412
Phone (718) 272-3700

4501 5TH Ave
Brooklyn, NY 11220-1205
Phone (718) 879-8171

531 Targee St
Staten Island, NY 10304-3501
Phone (646) 837-5448

5623 5TH Ave
Brooklyn, NY 11220-3414
Phone (718) 635-9333

589 Sutter Ave
Brooklyn, NY 11207-4002
Phone (347) 627-7896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
009063NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
589 Nyc Optical LLC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
We Eye Care Inc Optometrist Current Accepting new patients
Linden Eye Care, Inc Optometrist Current Accepting new patients
4501 Nyc Optical LLC Optometrist CurrentSince Apr 15, 2022 Accepting new patients
1354 Nyc Optical LLC Optometrist CurrentSince Mar 17, 2024 Accepting new patients
Linden Eye Care Inc Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Linden Eye Care Inc Optometrist CurrentSince Apr 1, 2025 Accepting new patients
482 Nyc Optical LLC Optometrist CurrentSince May 1, 2024 Accepting new patients
Nyc Optical Group LLC Optometrist CurrentSince Nov 20, 2020 Accepting new patients
Eyeconic Vision Si LLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Eyeconic Vision World Inc Optometrist PastSince Jan 1, 2026 Accepting new patients

Locations

589 Sutter Ave
Brooklyn, NY 11207
Phone (347) 627-7896

5623 5th Ave
Brooklyn, NY 11220
Phone (718) 635-9333

4501 5th Ave
Brooklyn, NY 11220
Phone (718) 879-8171

1354 Pennsylvania Ave
Brooklyn, NY 11239
Phone (718) 642-3526

482 86th St
Brooklyn, NY 11209
Phone (718) 879-8182

2084 Linden Blvd
Brooklyn, NY 11207
Phone (718) 272-3700

531 Targee St
Staten Island, NY 10304
Phone (347) 808-0346

1652 Richmond Ave
Staten Island, NY 10314
Phone (718) 982-9602

Organizations & group practices 11

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": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1902457112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 HAROLD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144146",
            "telephone_number": "347-469-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 HAROLD ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144146",
            "telephone_number": "347-469-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAINI",
        "first_name": "SYEDA",
        "middle_name": "SAFURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.