Rebecca Chan Min, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009584 Issued in NY

Practice address

1055 Stewart Ave FL 1
Bethpage, NY 11714-3597

Phone

(516) 938-0100

Fax

(516) 938-0120

NPI assigned

Jul 11, 2022

Last updated

Sep 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Overstock Goods Liquidators IncGroup PAC ID 1052669942, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
• Direct secure messaging: rchanmin55875@direct.acpny.com

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.

• Advantagecare Physicians PC

  dba AdvantageCare Physicians

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment Care Compare group NPD
• Overstock Goods Liquidators Inc

  dba Eyes.nyc

  • Optometrist
  • Brooklyn, NY
  • NPI 1194210369
  Medicare reassignment Care Compare group NPD
• Family Optometry P.C

  • Optometrist
  • Brooklyn, NY
  • NPI 1548513922
  Medicare reassignment NPD
• Advantagecare Physicians PC

  dba AdvantageCare Physicians Urgent Care

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1063954113
  NPD
• Optical Warehouse Outlet of Brooklyn Inc

  • Exclusive Provider Organization
  • Brooklyn, NY
  • NPI 1982646477
  NPD (past)

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1225762941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 STEWART AVE FL 1",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143597",
            "telephone_number": "516-938-0100",
            "fax_number": "516-938-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 Hawkins Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Ronkonkoma",
            "state": "NY",
            "postal_code": "117792324",
            "country_code": "US",
            "telephone_number": "631-471-0100",
            "fax_number": "631-471-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN MIN",
        "first_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Cavagnaro, PA-C
• Jeanine A Ceccoli
• Vikram Chabra, D.O.
• Princejeet Singh Chahal
• Jordan Marie Chaloupka, RN
• Andrew Chan, MD
• Danny Chan
• Victor Chang, M.D.
• Charles Evans Center, Inc.
• Sabrina Chaudhry, MD

• Optometrist in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.