Individual provider Active NPI

Hong Ji, O.D.

  • Optometrist
  • Nanuet, NY
National Provider Identifier
1386905537
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007805-1 Issued in NY
Practice address
75 W Route 59
Nanuet, NY 10954-2706
Phone
(845) 627-2582
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4886 MA
Optometrist 152W00000X TUV007805-1 NY Primary

Addresses

Primary practice location

75 W Route 59
Nanuet, NY 10954-2706

Mailing address

75 W Route 59
Nanuet, NY 10954-2706
Phone (845) 627-2582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121109000359 MA Practitioner - Optometry 2961653464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 Arsenal St
Watertown, MA 02472-2853
Phone (617) 744-3150

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
93.36
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4886MAMDPsychologist
007805NYMDPsychologist
TUV007805-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Eye Care LLC Optometrist CurrentSince Jul 8, 2022 Accepting new patients
Nielsen Eye Center, Inc. CurrentSince Oct 22, 2020 Accepting new patients
Nancy J. Schiffman, OD PC. Optometrist Past Accepting new patients
Pro Vision Care LLC Optometrist PastSince Dec 20, 2015 Accepting new patients

Locations

141 Longwater Dr
Ste 111
Norwell, MA 02061

95 Chapel St
Ste 1A
Norwood, MA 02062
Phone (781) 255-8325

300 Congress St
Ste 201
Quincy, MA 02169
Phone (617) 471-5655

550 Arsenal St
Watertown, MA 02472
Phone (617) 744-3150

541 Main St
Ste 110
Weymouth, MA 02190

Organizations & group practices 4

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": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1386905537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W ROUTE 59",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542706",
            "telephone_number": "845-627-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 W ROUTE 59",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542706",
            "telephone_number": "845-627-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JI",
        "first_name": "HONG",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4886",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007805-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.