Individual provider Active NPI

Qiaomei Cheng

  • Optometrist
  • Waltham, MA
National Provider Identifier
1194925784
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4630 Issued in MA
Practice address
57 Matthew LN
Waltham, MA 02452
Phone
(617) 721-1938
Fax
(617) 964-3201
NPI assigned
Jul 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4630 MA Primary

Addresses

Primary practice location

57 Matthew LN
Waltham, MA 02452

Mailing address

57 Matthew LN
Waltham, MA 02452-6331
Phone (617) 721-1938

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20090416000509 MA Practitioner - Optometry 8224185871 Reassigns benefits to 1 organization
Practice locations: Burlington, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1157 Walnut St
Newton, MA 02461-1242
Phone (617) 721-1938

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4630MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Newton Eye Care, LLC Optometrist CurrentSince Feb 20, 2012 Accepting new patients

Locations

1157 Walnut St
Newton Highlands, MA 02461
Phone (617) 527-2887

Organizations & group practices 1

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1194925784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 MATTHEW LN",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024526331",
            "telephone_number": "617-721-1938",
            "fax_number": "617-964-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 MATTHEW LN",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02452",
            "telephone_number": "617-721-1938",
            "fax_number": "617-964-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "QIAOMEI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waltham, MA

Sources for this page

Verify at the official NPI Registry.