Individual provider Active NPI

Brian Peter Chu, OD

  • Optometrist
  • Bronx, NY
National Provider Identifier
1265279004
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
010007 Issued in NY
Practice address
839 E 149TH St
Bronx, NY 10455-4662
Phone
(678) 557-5380
NPI assigned
Jul 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 010007 NY Primary

Addresses

Primary practice location

839 E 149TH St
Bronx, NY 10455-4662

Mailing address

4609 69TH St Apt 1503W
Woodside, NY 11377-5984
Phone (678) 557-5380

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
I20241126001587 NY Practitioner - Optometry 5294260345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristate Optometry PLLCGroup PAC ID 0941659460, 3 clinicians

Practice addresses (Care Compare)

839 E 149TH St
Bronx, NY 10455-4662
Phone (718) 576-1993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tristate Optometry PLLC Optometrist CurrentSince Oct 1, 2024 Accepting new patients

Locations

839 E 149th St
Bronx, NY 10455
Phone (678) 557-5380

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1265279004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 69TH ST APT 1503W",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113775984",
            "telephone_number": "678-557-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554662",
            "telephone_number": "678-557-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "BRIAN",
        "middle_name": "PETER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "010007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.