Individual provider Active NPI

Yuchen Liu, OD

  • Optometrist
  • West New York, NJ
National Provider Identifier
1205580859
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009305 Issued in NY
Practice address
26 Ave at Port Imperial Apt 428
West New York, NJ 07093-8397
Phone
(631) 377-9559
NPI assigned
Feb 11, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009305 NY Primary

Addresses

Primary practice location

26 Ave at Port Imperial Apt 428
West New York, NJ 07093-8397

Mailing address

26 Ave at Port Imperial Apt 428
West New York, NJ 07093-8397
Phone (631) 377-9559

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
I20230127000533 NY Practitioner - Optometry 1658742796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sight Medical Doctors PLLCGroup PAC ID 5991935173, 115 clinicians

Practice addresses (Care Compare)

54 Commerce Ave
Suite 6
Riverhead, NY 11901-4454
Phone (631) 265-8780

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009305NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC CurrentSince Jan 1, 2023 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

223 W Montauk Hwy
Ste 101
Hampton Bays, NY 11946

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

1500 Route 112
Bldg 6
Port Jefferson Station, NY 11776
Phone (631) 686-7890

54 Commerce Ave
Ste 6
Riverhead, NY 11901

153 Main St
Sayville, NY 11782
Phone (631) 244-0300

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

186 Old Town Rd
Southampton, NY 11968
Phone (516) 283-3533

Organizations & group practices 2

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": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1205580859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 AVE AT PORT IMPERIAL APT 428",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070938397",
            "telephone_number": "631-377-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 AVE AT PORT IMPERIAL APT 428",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070938397",
            "telephone_number": "631-377-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIU",
        "first_name": "YUCHEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.