Precision Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008150 Issued in NY

Legal business name

PRECISION OPTOMETRY PLLC

Practice address

13512 Roosevelt Ave
Flushing, NY 11354-5342

Phone

(718) 886-8637

Fax

(718) 886-8655

NPI assigned

Jan 28, 2016

Last updated

Mar 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yang Xia, O.D.NPI 1477968873

Title

Owner

Phone

(917) 635-7677

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yang Xia, O.D.

  • Optometrist
  • Flushing, NY
  • NPI 1477968873
  Medicare reassignment NPD Authorized official
• Christopher Chan, O.D.

  • Optometrist
  • Oakland Gardens, NY
  • NPI 1821440322
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1255798724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-886-8637",
            "fax_number": "718-886-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13512 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545342",
            "telephone_number": "718-886-8637",
            "fax_number": "718-886-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "XIA",
        "authorized_official_first_name": "YANG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-635-7677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04001910",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nishant Prasad, MD
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• Jane Pratt-Grippi, D.P.M.
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• Premier One Pharmacy Inc. (Premium Pharmacy)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.