Active NPI
Jin Chiu, OD
- Optometrist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV009051
- 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, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| TUV009051 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresh Eyes Inc | Optometrist | Current | Accepting new patients |
| SVC of Murray Hill, LLC | Optometrist | Current | Accepting new patients |
| SVC of Bensonhurst LLC | Optometrist | Current | Accepting new patients |
| SVC of Manhasset LLC | Optometrist | Current | Accepting new patients |
| Sound Vision Care, Inc. | Optometrist | Current | Accepting new patients |
| Flatbush Supplies & Services Inc. | Optometrist | Current | Accepting new patients |
| Long Island Optometric Eyecare,PC | Optometrist | Current | Accepting new patients |
| SVC of Mastic LLC | Optometrist | Current | Accepting new patients |
| SVC of Forest Hills One LLC | Optometrist | Current | Accepting new patients |
| SVC of Fresh Meadows LLC | Optometrist | Current | Accepting new patients |
| Visual Ophthalmology Services, PC | Single Specialty | Current | Accepting new patients |
| Abraham T. Winter,M.D.P.C | Single Specialty | Past | Accepting new patients |
| Ancona Eyecare Inc | Optometrist | Past | 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
- 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.
-
- Ophthalmologic Surgery Clinic/Center
- Corona, NY
- NPI 1982156535
Single Specialty
-
dba Sound Vision Care
- Eyewear Supplier
- Riverhead, NY
- NPI 1487809406
Optometrist
-
- Optometrist
- Brooklyn, NY
- NPI 1356095608
-
- Optometrist
- Fresh Meadows, NY
- NPI 1891398384
-
- Optometrist
- Manhasset, NY
- NPI 1366059172
-
dba Eyes On Flatbush Optical
- Optometrist
- Brooklyn, NY
- NPI 1669813986
-
- Optometrist
- Fresh Meadows, NY
- NPI 1043496367
-
- Optometrist
- Mastic, NY
- NPI 1750738944
-
- Optometrist
- Forest Hills, NY
- NPI 1861003352
-
- Optometrist
- Mastic, NY
- NPI 1831708353
-
- Optometrist
- New York, NY
- NPI 1134736945
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.