Individual provider Active NPI

Kahei Chan, O.D

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1306297445
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008425 Issued in NY
Practice address
2020 86TH St
Brooklyn, NY 11214-3204
Phone
(718) 449-7164
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008425 NY Primary

Addresses

Primary practice location

2020 86TH St
Brooklyn, NY 11214-3204

Mailing address

2020 86TH St
Brooklyn, NY 11214-3204

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
I20161102002421 NY Practitioner - Optometry 8325326937 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008425NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson Heights Optical Inc Optometrist CurrentSince Jul 5, 2022 Accepting new patients
Optical Warehouse Outlet Nyc Incorporated Optometrist CurrentSince Jan 27, 2024 Accepting new patients
Astoria Vision Center Inc Optometrist CurrentSince Jul 5, 2022 Accepting new patients

Locations

3620 Broadway
Astoria, NY 11106
Phone (718) 204-2007

440 Knickerbocker Ave
Brooklyn, NY 11237
Phone (347) 295-1605

8325 37th Ave
Jackson Hts, NY 11372
Phone (718) 246-2725

Organizations & group practices 3

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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1306297445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143204",
            "telephone_number": "718-449-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "KAHEI",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.