Individual provider Active NPI

Lisa Chen, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1003178021
Registry record updated Nov 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007833 Issued in NY
Practice address
551 5TH Ave FL 2
New York, NY 10176-0001
Phone
(212) 719-4000
Fax
(212) 382-2123
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 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 TUV007833 NY Primary

Addresses

Primary practice location

551 5TH Ave FL 2
New York, NY 10176-0001

Mailing address

551 5TH Ave
2ND Floor
New York, NY 10176-0001
Phone (212) 719-4000

Other practice location 1

599 Lexington Ave
New York, NY 10022-6030
Phone (212) 688-3580

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
I20121211000063 NY Practitioner - Optometry 1153578000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
CH Optometric Associates PCGroup PAC ID 9739620949, 2 clinicians

Practice addresses (Care Compare)

210 E 64TH St
New York, NY 10065-7471
Phone (212) 702-7674

297 Mineola Blvd
Suite 2
Mineola, NY 11501-1502
Phone (516) 980-2020

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007833NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Mar 9, 2022 Accepting new patients
C.H. Optometric Associates, P.C. Optometrist CurrentSince Oct 1, 2024 Accepting new patients
Advanced Eye Physician PLLC Optometrist CurrentSince Jul 1, 2012 Accepting new patients
Grand Fashion Optical, Inc Optometrist CurrentSince Nov 17, 2019 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 9, 2022 Accepting new patients

Locations

4270 Kissena Blvd
Flushing, NY 11355
Phone (718) 888-9838

297 Mineola Blvd
Ste 2
Mineola, NY 11501
Phone (516) 980-2020

210 E 64th St
Fl 6
New York, NY 10065
Phone (212) 702-7670

210 E 64th St
New York, NY 10065
Phone (212) 434-4312

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: lchen21@northwellhealth.intellechartdirect.net
  • Direct secure messaging: lchen26601@northwell.direct-ci.com

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": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1003178021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 5TH AVE",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101760001",
            "telephone_number": "212-719-4000",
            "fax_number": "212-382-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 5TH AVE FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101760001",
            "telephone_number": "212-719-4000",
            "fax_number": "212-382-2123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100226030",
            "country_code": "US",
            "telephone_number": "212-688-3580",
            "fax_number": "212-688-1339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.