Individual provider Active NPI

Jin Chiu, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1104469287
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009051 Issued in NY
Practice address
225 S 4TH St
Brooklyn, NY 11211-8693
Phone
(718) 384-4700
Fax
(718) 387-3139
NPI assigned
Oct 22, 2019
Last updated
Mar 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV009051 NY Primary

Addresses

Primary practice location

225 S 4TH St
Brooklyn, NY 11211-8693

Mailing address

225 S 4TH St
Brooklyn, NY 11211-8693
Phone (718) 384-4700

Other practice location 1

961 Flatbush Ave
Brooklyn, NY 11226-4019
Phone (718) 717-8010

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
I20191224000176 NY Practitioner - Optometry 5092149179 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visual Ophthalmology Services PCGroup PAC ID 5890076855, 4 clinicians

Practice addresses (Care Compare)

6240 Forest Ave
Ridgewood, NY 11385-1929
Phone (718) 418-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009051NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fresh Eyes Inc Optometrist CurrentSince Dec 5, 2022 Accepting new patients
SVC of Murray Hill, LLC Optometrist CurrentSince Dec 5, 2022 Accepting new patients
SVC of Bensonhurst LLC Optometrist CurrentSince Dec 5, 2022 Accepting new patients
SVC of Manhasset LLC Optometrist CurrentSince Dec 5, 2022 Accepting new patients
Sound Vision Care, Inc. Optometrist CurrentSince Dec 5, 2022 Accepting new patients
Flatbush Supplies & Services Inc. Optometrist CurrentSince Sep 14, 2021 Accepting new patients
Long Island Optometric Eyecare,PC Optometrist CurrentSince Dec 5, 2022 Accepting new patients
SVC of Mastic LLC Optometrist CurrentSince Dec 5, 2022 Accepting new patients
SVC of Forest Hills One LLC Optometrist CurrentSince Dec 5, 2022 Accepting new patients
SVC of Fresh Meadows LLC Optometrist CurrentSince Dec 5, 2022 Accepting new patients
Visual Ophthalmology Services, PC Single Specialty CurrentSince Dec 1, 2023 Accepting new patients
Abraham T. Winter,M.D.P.C Single Specialty PastSince Dec 5, 2022 Accepting new patients
Ancona Eyecare Inc Optometrist PastSince Dec 1, 2019 Accepting new patients

Locations

6806 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 236-4352

961 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 717-8010

7119 Austin St
Forest Hills, NY 11375
Phone (718) 268-7709

6130A 190th St
Fresh Meadows, NY 11365
Phone (718) 454-8484

4207 30th Ave
Long Island City, NY 11103
Phone (718) 204-6667

1360 Montauk Hwy
Ste 2E
Mastic, NY 11950
Phone (631) 281-2474

1721 N Ocean Ave
Ste A
Medford, NY 11763
Phone (631) 447-2020

458 3rd Ave
New York, NY 10016
Phone (212) 696-5590

433 Plandome Rd
Plandome, NY 11030
Phone (516) 627-0208

5629 Metropolitan Ave
Ridgewood, NY 11385
Phone (718) 418-0300

6240 Forest Ave
Ridgewood, NY 11385
Phone (718) 418-0100

1224 Ostrander Ave
Riverhead, NY 11901
Phone (631) 727-2858

44210 County Road 48
Ste 1
Southold, NY 11971
Phone (631) 765-3092

215 Hallock Rd
Ste 2
Stony Brook, NY 11790
Phone (631) 675-6909

200 Montauk Hwy
Westhampton Beach, NY 11978
Phone (631) 283-0220

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJIDAD/Endpoint/CJIDAD

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1104469287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118693",
            "telephone_number": "718-384-4700",
            "fax_number": "718-387-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118693",
            "telephone_number": "718-384-4700",
            "fax_number": "718-387-3139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "961 Flatbush Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112264019",
            "country_code": "US",
            "telephone_number": "718-717-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIU",
        "first_name": "JIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.