Individual provider Active NPI

John Tao, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1194177493
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008470 Issued in NY
Practice address
187 Avenue U
Brooklyn, NY 11223-3741
Phone
(718) 373-2020
NPI assigned
Jul 11, 2016
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008470 NY Primary

Addresses

Primary practice location

187 Avenue U
Brooklyn, NY 11223-3741

Mailing address

1843 E 28TH St
Brooklyn, NY 11229-2514
Phone (917) 362-6226

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
I20171213000467 NY Practitioner - Optometry 6507124930 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Optometry PLLCGroup PAC ID 2264762087, 3 clinicians
Elmont Optometry PLLCGroup PAC ID 0446650741, 3 clinicians
Tristate Optometry PLLCGroup PAC ID 0941659460, 3 clinicians

Practice addresses (Care Compare)

21818 Jamaica Ave
Queens Village, NY 11428-2125
Phone (718) 470-2277

3730 E Tremont Ave
Bronx, NY 10465-2007
Phone (718) 792-9590

733 Elmont Rd
Elmont, NY 11003-4035
Phone (516) 341-0555

839 E 149TH St
Bronx, NY 10455-4662
Phone (718) 576-1993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Optometry PLLC Optometrist CurrentSince Nov 2, 2022 Accepting new patients
Elmont Optometry PLLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Elena Feldman Optometrist PC Optometrist CurrentSince Oct 21, 2017 Accepting new patients
Visionary Optometry, PLLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Tristate Optometry PLLC Optometrist CurrentSince Oct 12, 2023 Accepting new patients
Empire Optometry PLLC Optometrist PastSince Feb 1, 2025 Accepting new patients

Locations

3730 E Tremont Ave
Bronx, NY 10465
Phone (718) 792-9590

839 E 149th St
Bronx, NY 10455
Phone (678) 557-5380

187 Avenue U
Brooklyn, NY 11223
Phone (718) 373-2020

2504 Flatbush Ave
Brooklyn, NY 11234
Phone (718) 253-7700

733 Elmont Rd
Elmont, NY 11003
Phone (516) 341-0555

21818 Jamaica Ave
Queens Vlg, NY 11428
Phone (347) 860-9360

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1194177493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1843 E 28TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292514",
            "telephone_number": "917-362-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233741",
            "telephone_number": "718-373-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAO",
        "first_name": "JOHN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.