Michael Robert Menasse, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

C0053311 Issued in NY

Practice address

637 5TH Ave
Brooklyn, NY 11215-5434

Phone

(718) 499-4260

Fax

(718) 499-6007

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Hamilton Plaza Vision Center Inc.

  • Eyewear Supplier
  • Brooklyn, NY
  • NPI 1043271331

  Optician

  NPD Authorized official

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1972564193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155434",
            "telephone_number": "718-499-4260",
            "fax_number": "718-499-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 5TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112155434",
            "telephone_number": "718-499-4260",
            "fax_number": "718-499-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENASSE",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C0053311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01050339",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aisha Menard
• Ashley Menard
• Josue Wills Menard, M.D.
• Talya Menashe
• Rachel Menashy
• Bradley Menchaca
• Rena Menche
• Gisellet A Mencia, LPN
• Gitty Menczer
• Israel Menczer

• Optician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.