Samuel S Choi, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV 007352 Issued in NY

Practice address

10219 Roosevelt Ave
Corona, NY 11368-2331

Phone

(718) 250-7820

Fax

(718) 507-2729

NPI assigned

Sep 3, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: schoi24@northwellhealth.intellechartdirect.net

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD
• Rye Eye Care OD PLLC

  • Optometrist
  • Rye, NY
  • NPI 1275792137
  NPD Authorized official
• North Shore - Lij Medical PC

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1790043479
  NPD
• Rye Eye Care OD PLLC

  • Optometrist
  • New York, NY
  • NPI 1831049964
  NPD
• National Vision Care Center Inc

  • Eyewear Supplier
  • Corona, NY
  • NPI 1003069311

  Optometrist

  NPD (past)
• National Vision Care Center Inc.

  • Optician
  • Corona, NY
  • NPI 1093966764
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1366690448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10219 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-250-7820",
            "fax_number": "718-507-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10219 ROOSEVELT AVE",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682331",
            "telephone_number": "718-250-7820",
            "fax_number": "718-507-2729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Purchase St",
            "address_purpose": "LOCATION",
            "city": "Rye",
            "state": "NY",
            "postal_code": "105803005",
            "country_code": "US",
            "telephone_number": "914-967-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SAMUEL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 007352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Augustina Obiageli Chibuzo, RN
• Chiropractic Spine & Sport of Queens P.C.
• Jeffrey Chiu, PTA
• Eunjeong Cho
• David Choi, L.AC
• Suraiya Choudhury, LMHC
• Chronicare LTC RX, LLC
• Chronicare LTC RX, LLC
• Hyunsook Chung
• Mirella Cinquemani

• Optometrist in Corona, NY
• Providers in Corona, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.