Eyecare by Ophthalmologist, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

211188 Issued in NY

Legal business name

EYECARE BY OPHTHALMOLOGIST, PLLC

Practice address

755 New York Ave
Suite 307
Huntington, NY 11743-4240

Phone

(718) 886-8830

NPI assigned

Jan 8, 2008

Last updated

May 25, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tung T Chu, MDNPI 1548356454

Title

Director

Phone

(718) 886-8830

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tung Tammy Chu, MD

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1548356454
  Medicare reassignment NPD Authorized official
• George L. Wang, M.D.

  • Ophthalmology Physician
  • Huntington, NY
  • NPI 1811907249
  Medicare reassignment NPD
• Xiao Alicemeng Jing, OD

  • Optometrist
  • Flushing, NY
  • NPI 1639053705
  NPD (past)
• Jiaoyang Li

  • Optometrist
  • Long Island City, NY
  • NPI 1922765700
  NPD (past)
• Justin Wu, O.D

  • Optometrist
  • Flushing, NY
  • NPI 1093257453
  NPD (past)

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432512000000",
    "number": "1063697043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 254TH ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110041438",
            "telephone_number": "718-886-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE",
            "address_2": "SUITE 307",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434240",
            "telephone_number": "718-886-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE BY OPHTHALMOLOGIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2015-05-25",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "TUNG",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-886-8830",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "211188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE",
            "identifier": "71114000050",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH FIRST",
            "identifier": "211188E16",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5666435",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0498119",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "107851",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS/BS",
            "identifier": "8H1762",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Desavia Evans
• Judith Tenenbaum Evans, MSN,RN,IBCLC
• Evelyn Botkin, PHD., Psychologist, PC
• Evelyn Llanos MD PC
• Exodus Surgical Care PC
• Francine L. Falco, PH.D.
• Jacquelyn Falcone
• Diana Falk, LCSW R
• Dennis Fama, LAC.
• Jeremy Fama, MD

• Ophthalmology Physician in Huntington, NY
• Providers in Huntington, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.