Qiong Chen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008697 Issued in NY

Practice address

223 State Route 18 Ste 107
East Brunswick, NJ 08816-1913

Phone

(732) 247-2847

Fax

(732) 246-2650

NPI assigned

Oct 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seesaw Vision Eb LLCGroup PAC ID 7517484256, 4 clinicians

Seesaw Vision LS LLCGroup PAC ID 8820531718, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seesaw Vision Eb LLC

  • Optometrist
  • East Brunswick, NJ
  • NPI 1568286375

  NJ, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Seesaw Vision LS LLC

  • Optometrist
  • Livingston, NJ
  • NPI 1689425985

  NJ, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Changmin Duan OD PA

  • Optometrist
  • East Brunswick, NJ
  • NPI 1265585426

  NJ

  Medicare reassignment

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1104336957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 STATE ROUTE 18 STE 107",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161913",
            "telephone_number": "570-468-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 STATE ROUTE 18 STE 107",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161913",
            "telephone_number": "732-247-2847",
            "fax_number": "732-246-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "QIONG",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Rani Chawla, O.D
• Chelsea at East Brunswick
• Heather Chelton, LCSW
• Seraphim Chemodakov, MA LAC
• Jianzhong Chen
• Stephanie Chen
• William Yuen Chen, MD
• Nicole Cherbakova, MSW, LSW
• Eric K CHI
• Ann McKenrick Chicchi, M.S., R.D.

• All providers in East Brunswick, NJ
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.