Organization Active NPI

Jason Cheung, OD, LLC

  • Optometrist
  • Valley Stream, NY
National Provider Identifier
1235660705
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008269 Issued in NY
Legal business name
JASON CHEUNG, OD, LLC
Practice address
260 W Sunrise Hwy
Valley Stream, NY 11581-1011
Phone
(167) 912-7905
Fax
(516) 791-2797
NPI assigned
Mar 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Dr. Jason Cheung, ODNPI 1770966509
Title
Optometrist
Phone
(516) 791-2790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV008269 NY Primary

Addresses

Primary practice location

260 W Sunrise Hwy
Valley Stream, NY 11581-1011

Mailing address

519 Borden Ave Apt 9L
Long Island City, NY 11101-5899
Phone (917) 731-1564

Other names 1

  • Garden City Vision Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190625000288 NY Part B Supplier - Clinic/Group Practice 6709110844 Receives reassigned benefits from 2 practitioners
Practice locations: Valley Stream, NY

National Provider Directory

National Provider Directory

Locations

260 W Sunrise Hwy
Ste 105
Valley Stream, NY 11581
Phone (516) 791-2790

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1235660705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 BORDEN AVE APT 9L",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015899",
            "telephone_number": "917-731-1564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W SUNRISE HWY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811011",
            "telephone_number": "167-912-7905",
            "fax_number": "516-791-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON CHEUNG, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-25",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "516-791-2790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden City Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.