Jin Chiu, OD
Individual provider Active NPI Optometrist · Brooklyn, NY
NPI 1104469287 · NPPES record last updated Mar 9, 2020
Key facts
- NPI
- 1104469287
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- TUV009051 (NY)
- Practice address
- 225 S 4TH St
Brooklyn, NY 11211-8693 - Phone
- (718) 384-4700
- Fax
- (718) 387-3139
- NPI assigned
- Oct 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Visual Ophthalmology Services PC
Practice addresses (Care Compare)
6240 Forest Ave
Ridgewood, NY 11385-1929
Phone (718) 418-0100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191224000176 | NY | Practitioner - Optometry | 5092149179 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV009051 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVC of Fresh Meadows LLC | Optometrist | Current |
Accepting new patients |
| SVC of Bensonhurst LLC | Optometrist | Current |
Accepting new patients |
| SVC of Mastic LLC | Optometrist | Current |
Accepting new patients |
| SVC of Murray Hill, LLC | Optometrist | Current |
Accepting new patients |
| SVC of Forest Hills One LLC | Optometrist | Current |
Accepting new patients |
| Fresh Eyes Inc | Optometrist | Current |
Accepting new patients |
| Visual Ophthalmology Services, PC | Single Specialty | Current |
Accepting new patients |
| Flatbush Supplies & Services Inc. | Optometrist | Current |
Accepting new patients |
| SVC of Manhasset LLC | Optometrist | Current |
Accepting new patients |
| Sound Vision Care, Inc. | Optometrist | Current |
Accepting new patients |
| Long Island Optometric Eyecare,PC | Optometrist | Current |
Accepting new patients |
| Ancona Eyecare Inc | Optometrist | Past |
Accepting new patients |
| Abraham T. Winter,M.D.P.C | Single Specialty | Past |
Accepting new patients |
Locations
961 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 717-8010
6806 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 236-4352
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | TUV009051 | NY | Yes |
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
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.