Individual provider Active NPI

Lindsey Brooke Chan, OD

  • Corneal and Contact Management Optometrist
  • Brooklyn, NY
National Provider Identifier
1295563146
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
010003 Issued in NY
Practice address
546 Nostrand Ave
Brooklyn, NY 11216-2013
Phone
(718) 230-0774
Fax
(929) 234-3172
NPI assigned
Jul 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 010003 NY Primary

Addresses

Primary practice location

546 Nostrand Ave
Brooklyn, NY 11216-2013

Mailing address

546 Nostrand Ave
Brooklyn, NY 11216-2013
Phone (718) 230-0774

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
I20250908001960 NY Practitioner - Optometry 2264934371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

62 -98 Woodhaven Boulevard
Middle Billage, NY 11379

691 Co Op City Blvd
Unit H
Bronx, NY 10475-1673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010003NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Supreme Vision Center Inc CurrentSince Jun 15, 2025 Accepting new patients
Audiology Distribution, LLC PastSince Jun 15, 2025 Accepting new patients

Locations

691 Co Op City Blvd
Unit H
Bronx, NY 10475
Phone (718) 514-9076

Organizations & group practices 2

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": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1295563146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162013",
            "telephone_number": "718-230-0774",
            "fax_number": "929-234-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112162013",
            "telephone_number": "718-230-0774",
            "fax_number": "929-234-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "LINDSEY",
        "middle_name": "BROOKE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NY",
            "license": "010003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.