Individual provider Active NPI

Frank Fong, O.D.

  • Optometrist
  • Queens Village, NY
National Provider Identifier
1285086280
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008469 Issued in NY
Practice address
21818 Jamaica Ave
Queens Village, NY 11428-2125
Phone
(718) 470-2277
NPI assigned
Jul 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 008469 NY
Optometrist 152W00000X 008469 NY Primary

Addresses

Primary practice location

21818 Jamaica Ave
Queens Village, NY 11428-2125

Mailing address

21818 Jamaica Ave
Queens Village, NY 11428-2125
Phone (718) 470-2277

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
I20160912000697 NY Practitioner - Optometry 9436445814 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visionary Optometry PLLCGroup PAC ID 2264762087, 3 clinicians
Elmont Optometry PLLCGroup PAC ID 0446650741, 3 clinicians

Practice addresses (Care Compare)

21818 Jamaica Ave
Queens Village, NY 11428-2125
Phone (718) 470-2277

733 Elmont Rd
Elmont, NY 11003-4035
Phone (516) 341-0555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008469NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Corona Optometry, PC Optometrist CurrentSince Jul 7, 2016 Accepting new patients
Noon Optometry PLLC Optometrist CurrentSince Jan 7, 2022 Accepting new patients
Elmont Optometry PLLC Optometrist CurrentSince Jul 1, 2021 Accepting new patients
Visionary Optometry, PLLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Corona Optometry PC Optometrist PastSince Jul 7, 2016 Accepting new patients

Locations

10306 Roosevelt Ave
Corona, NY 11368
Phone (718) 424-1333

733 Elmont Rd
Elmont, NY 11003
Phone (516) 341-0555

21818 Jamaica Ave
Queens Vlg, NY 11428
Phone (347) 860-9360

Organizations & group practices 5

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1285086280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21818 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282125",
            "telephone_number": "718-470-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21818 JAMAICA AVE",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114282125",
            "telephone_number": "718-470-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONG",
        "first_name": "FRANK",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "008469",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queens Village, NY

Sources for this page

Verify at the official NPI Registry.