Changmin Duan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OA 05333 Issued in NJ

Practice address

223 State Route 18 Ste 107
East Brunswick, NJ 08816-1913

Phone

(732) 247-2847

Fax

(732) 246-2650

NPI assigned

Mar 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Optometry

Education

New England College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seesaw Vision Eb LLCGroup PAC ID 7517484256, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seesaw Vision Eb LLC

  dba Seesaw Vision Center

  • Optometrist
  • East Brunswick, NJ
  • NPI 1568286375
  Medicare reassignment Care Compare group NPD
• Changmin Duan OD PA

  • Optometrist
  • East Brunswick, NJ
  • NPI 1265585426
  Medicare reassignment Authorized official
• Changmin Duan OD PA

  dba Dr. Duan and Associates Eye Care

  • Optometrist
  • East Brunswick, NJ
  • NPI 1538997598
  NPD Authorized official
• State of New York Comptrollers Office

  • Developmental Disabilities Clinic/Center
  • Staten Island, NY
  • NPI 1750469912
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1295702264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 STATE ROUTE 18 STE 107",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161913",
            "telephone_number": "732-247-2847",
            "fax_number": "732-246-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 STATE ROUTE 18 STE 107",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161913",
            "telephone_number": "732-247-2847",
            "fax_number": "732-246-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUAN",
        "first_name": "CHANGMIN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA 05333",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "U00558-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Jeffrey S. Karlin, P.a.
• Dr. Lynn Motasis
• Drug Stores II LLC (INNOVO Specialty Compounding Solutions)
• Drug Stores II, LLC (Health Shoppe Pharmacy)
• DSP Physicians LLC
• Balaji Duddukuru
• Stephanie Duke, MD
• Ashley Veronica Dwyer, MA, LAC, NCC
• Steven Ira Dyckman, MD
• East Brunswick Anesthesia Associates

• Optometrist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.