Individual provider Active NPI

Jennifer Tsai

  • Optometrist
  • New York, NY
National Provider Identifier
1134532492
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008122 Issued in NY
Practice address
512 W 29TH St
New York, NY 10001-1308
Phone
(646) 791-6467
NPI assigned
Jun 4, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002326 VA
Optometrist 152W00000X 008122 NY Primary

Addresses

Primary practice location

512 W 29TH St
New York, NY 10001-1308

Mailing address

512 W 29TH St
New York, NY 10001-1308
Phone (646) 791-6467

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
I20141018000012 NY Practitioner - Optometry 3678794518 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002326VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Central Optical Co Inc Optometrist CurrentSince Jul 13, 2017 Accepting new patients
Krystal Klear Optical Inc. Optometrist CurrentSince Sep 25, 2017 Accepting new patients
Medalliance Medical Health Services Inc Past Accepting new patients
Star Specs, Inc. Optometrist Past Accepting new patients
Epic Medical Group,Inc Past Accepting new patients

Locations

62 Grand Central Terminal
New York, NY 10017
Phone (212) 599-1220

342 Madison Ave
New York, NY 10173
Phone (212) 599-1220

369 Madison Ave
New York, NY 10017
Phone (212) 599-1220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1134532492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W 29TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011308",
            "telephone_number": "646-791-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W 29TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100011308",
            "telephone_number": "646-791-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002326",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.