Individual provider Active NPI

Jeannette Cheu, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1023321650
Registry record updated Nov 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007596 Issued in NY
Practice address
72 Mott St
New York, NY 10013-6500
Phone
(212) 267-8888
NPI assigned
Jul 25, 2010
Last updated
Nov 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007596 NY Primary

Addresses

Primary practice location

72 Mott St
New York, NY 10013-6500

Mailing address

72 Mott St
New York, NY 10013-6500
Phone (212) 267-8888

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
I20120723000771 NY Practitioner - Optometry 1850557620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007596NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1280016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1023321650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100136500",
            "telephone_number": "212-267-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100136500",
            "telephone_number": "212-267-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEU",
        "first_name": "JEANNETTE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-25",
        "last_updated": "2023-11-04",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.