Individual provider Active NPI

Vincent Kuang, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1316760333
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011052 Issued in NY
Practice address
64A Mott St
New York, NY 10013-4811
Phone
(212) 625-3999
NPI assigned
Nov 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 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 011052 NY Primary

Addresses

Primary practice location

64A Mott St
New York, NY 10013-4811

Mailing address

2184 E 26TH St
Brooklyn, NY 11229-4955
Phone (347) 944-2293

Other practice location 1

33 Mott St
New York, NY 10013-5021
Phone (212) 349-8688

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
I20250121001231 NY Practitioner - Optometry 4486183480 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011052NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eye-Look Optical Inc Optometrist CurrentSince Dec 15, 2024 Accepting new patients
Tse Eyewear,Inc Optometrist CurrentSince Jan 15, 2025 Accepting new patients

Locations

37 Mott St
New York, NY 10013
Phone (212) 349-8688

64A Mott St
New York, NY 10013
Phone (212) 625-3999

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": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1316760333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 E 26TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294955",
            "telephone_number": "347-944-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64A MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134811",
            "telephone_number": "212-625-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Mott St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100135021",
            "country_code": "US",
            "telephone_number": "212-349-8688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUANG",
        "first_name": "VINCENT",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.