Individual provider Active NPI

Candice Haoyu Meng, OD

  • Optometrist
  • Flushing, NY
National Provider Identifier
1023635208
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009156 Issued in NY
Practice address
3808 Union St Ste 3P02
Flushing, NY 11354-5543
Phone
(929) 303-3575
Fax
(929) 303-3576
NPI assigned
Jul 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009156 NY Primary

Addresses

Primary practice location

3808 Union St Ste 3P02
Flushing, NY 11354-5543

Mailing address

2911 Queens PLZ N Apt 22G
Long Island City, NY 11101-4043

Other practice location 1

5521 8th Ave Ste 3A
Brooklyn, NY 11220-3515
Phone (718) 972-3937

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
I20201214002871 NY Practitioner - Optometry 1658783741 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3808 Union St
Suite 3P
Flushing, NY 11354-5670
Phone (929) 303-3575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009156NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Keith C. Chang, MD, PLLC CurrentSince Nov 1, 2020 Accepting new patients
Wilson Ko, M.D., F.a.C.S., P.C. CurrentSince Oct 1, 2022 Accepting new patients
Vision Light LLC Optometrist CurrentSince Jul 11, 2022 Accepting new patients
Keith C Chang MD PLLC PastSince Nov 1, 2020 Accepting new patients
Chinatown Optical Inc. PastSince Aug 1, 2020 Accepting new patients

Locations

5521 8th Ave
Ste 3A
Brooklyn, NY 11220
Phone (718) 972-3937

849 57th St
Ste 3
Brooklyn, NY 11220
Phone (212) 965-9883

13625 Maple Ave
Ste 202
Flushing, NY 11355
Phone (718) 358-5900

3808 Union St
Ste 3P
Flushing, NY 11354
Phone (929) 303-3575

3808 Union St
Ste 3P2
Flushing, NY 11354
Phone (929) 303-3575

10518 Metropolitan Ave
Forest Hills, NY 11375

217 Grand St
Ste 302
New York, NY 10013
Phone (212) 965-8883

128 Mott St
Ste 408
New York, NY 10013
Phone (212) 732-0073

Interoperability endpoints

  • Direct secure messaging: cmeng@advancedeyecare.intellechartdirect.net

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": "1593734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1023635208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 QUEENS PLZ N APT 22G",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 UNION ST STE 3P02",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545543",
            "telephone_number": "929-303-3575",
            "fax_number": "929-303-3576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5521 8th Ave Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203515",
            "country_code": "US",
            "telephone_number": "718-972-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENG",
        "first_name": "CANDICE",
        "middle_name": "HAOYU",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-03",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.