Individual provider Active NPI

Li Qing NG, OD

  • Optometrist
  • Dover, DE
National Provider Identifier
1396306643
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0011469 Issued in DE
Practice address
200 Banning St Ste 130
Dover, DE 19904-3486
Phone
(302) 678-1700
Fax
(302) 678-2330
NPI assigned
Jun 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2677 MD
Optometrist 152W00000X I3-0011469 DE Primary

Addresses

Primary practice location

200 Banning St Ste 130
Dover, DE 19904-3486

Mailing address

200 Banning St Ste 130
Dover, DE 19904-3486
Phone (302) 678-1700

Other practice location 1

35786 Atlantic Ave Unit 2
Millville, DE 19967-6955
Phone (302) 616-1096

Other practice location 2

1305 Bridgeville Hwy
Seaford, DE 19973-1616
Phone (302) 629-6816

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lqing@esd.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20240226003874 DE Practitioner - Optometry 4183058878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Halpern Medical Services LLCGroup PAC ID 7911934922, 6 clinicians

Practice addresses (Care Compare)

200 Banning St
Suite 130
Dover, DE 19904-3486
Phone (302) 678-1700

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2677MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Halpern Medical Services LLC CurrentSince Feb 13, 2024 Accepting new patients
Peninsula Eye Center, P.a. PastSince Oct 1, 2020 Accepting new patients

Locations

500 W Loockerman St
Ste 320
Dover, DE 19904
Phone (302) 734-9040

200 Banning St
Ste 130
Dover, DE 19904
Phone (302) 678-1700

35786 Atlantic Ave
Unit 2
Millville, DE 19967
Phone (302) 616-1096

1305 Bridgeville Hwy
Seaford, DE 19973
Phone (302) 629-6816

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1396306643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 130",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043486",
            "telephone_number": "302-678-1700",
            "fax_number": "302-678-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 130",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043486",
            "telephone_number": "302-678-1700",
            "fax_number": "302-678-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35786 Atlantic Ave Unit 2",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "DE",
            "postal_code": "199676955",
            "country_code": "US",
            "telephone_number": "302-616-1096",
            "fax_number": "302-402-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Bridgeville Hwy",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199731616",
            "country_code": "US",
            "telephone_number": "302-629-6816",
            "fax_number": "302-990-4441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NG",
        "first_name": "LI QING",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "2677",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0011469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lqing@esd.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Banning St Ste 130",
            "city": "Dover",
            "state": "DE",
            "country_code": "US",
            "postal_code": "199043486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.