Individual provider Active NPI

Arthur Chen, O.D.

  • Optometrist
  • Bayside, NY
National Provider Identifier
1124257761
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007443 Issued in NY
Practice address
20836 Cross Island Pkwy
Bayside, NY 11360-1187
Phone
(718) 224-1833
Fax
(718) 224-1877
NPI assigned
Jul 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007443 NY Primary

Addresses

Primary practice location

20836 Cross Island Pkwy
Bayside, NY 11360-1187

Mailing address

20836 Cross Island Pkwy
Bayside, NY 11360-1187
Phone (718) 224-1833

Other identifiers 1

IdentifierTypeStateIssuer
03127020MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150617000237 NY Practitioner - Optometry 8628123346 Reassigns benefits to 1 organization
I20200423001895 PA Practitioner - Optometry 8628123346 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007443NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Genius Inc Optometrist CurrentSince Nov 30, 2018 Accepting new patients
Visionworks, Inc CurrentSince Apr 1, 2020 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Apr 1, 2020 Accepting new patients

Locations

53 Mott St
New York, NY 10013
Phone (212) 788-8898

949 Airport Center Dr
Allentown, PA 18109
Phone (610) 264-0891

560 Millcreek Mall
Erie, PA 16565
Phone (814) 868-8540

2300 E Lincoln Hwy
Langhorne, PA 19047
Phone (215) 750-3760

Interoperability endpoints

  • Direct secure messaging: 105663@visionworks.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1124257761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20836 CROSS ISLAND PKWY",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601187",
            "telephone_number": "718-224-1833",
            "fax_number": "718-224-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20836 CROSS ISLAND PKWY",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113601187",
            "telephone_number": "718-224-1833",
            "fax_number": "718-224-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ARTHUR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-02",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03127020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

Verify at the official NPI Registry.