Active NPI
Shunqi Huang, OD
- Optometrist
- Brooklyn, NY
National Provider Identifier
1023533957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV008673
- Practice address
- 6713 10TH Ave
Brooklyn, NY 11219-5808 - Phone
- (781) 879-5079
- NPI assigned
- Aug 11, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5520 | MA | |
| Optometrist | 152W00000X | TUV008673 | NY | Primary |
Addresses
Primary practice location
6713 10TH Ave
Brooklyn, NY 11219-5808
Mailing address
6713 10TH Ave
Brooklyn, NY 11219-5808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008673 | NY | MD | Registered Dietitian |
| TUV008673 | NY | MD | Optometrist |
| 5520 | MA | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| W Winston Yao OD PC | Optometrist | Past | Accepting new patients |
| Tallman Eye Associates, PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1023533957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6713 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112195808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6713 10TH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112195808",
"telephone_number": "781-879-5079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "SHUNQI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2022-04-08",
"certification_date": "2022-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "5520",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.