Edmund Chan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV008725 Issued in NY

Practice address

6002 8TH Ave
Brooklyn, NY 11220-4338

Phone

(718) 439-2880

NPI assigned

Sep 23, 2018

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

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 and National Provider Directory roles.

• Tse Eyewear,Inc

  • Optometrist
  • New York, NY
  • NPI 1740321983
  Medicare reassignment NPD
• Bee Tse Optician Inc

  • Optometrist
  • Brooklyn, NY
  • NPI 1144361387
  NPD (past)

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

{
    "created_epoch": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1386128536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MOTT ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100135021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6002 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204338",
            "telephone_number": "718-439-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "EDMUND",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-23",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ching Ying Chan, M.S
• Christine Chan
• Christopher Chan, D.M.D.
• Christopher K. Chan, DDS
• Clarence C.K. Chan, PT, DPT
• Elton Chan, D.D.S.
• Emily Chan, MD
• Fion Chan, CNM
• France Chan, DPT
• Godwell Chan, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.