Active NPI
Betsy Mi Chiem, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1174075907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 008529
- Practice address
- 108 Orchard St
New York, NY 10002-3106 - Phone
- (212) 477-3796
- NPI assigned
- Oct 27, 2016
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 008529 | NY | Primary |
Addresses
Primary practice location
108 Orchard St
New York, NY 10002-3106
Mailing address
108 Orchard St
New York, NY 10002-3106
Phone (212) 477-3796
Other practice location 1
75 9th Ave Ste 1A10
New York, NY 10011-7006
Phone (646) 380-2599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008529 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1174075907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 ORCHARD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100023106",
"telephone_number": "212-477-3796",
"fax_number": "212-477-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 ORCHARD ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100023106",
"telephone_number": "212-477-3796"
}
],
"practiceLocations": [
{
"address_1": "75 9th Ave Ste 1A10",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100117006",
"country_code": "US",
"telephone_number": "646-380-2599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIEM",
"first_name": "BETSY",
"middle_name": "MI",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "008529",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.