Individual provider Active NPI

Judy Cheng, O.D.

  • Optometrist
  • Terre Haute, IN
National Provider Identifier
1407220585
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004228 Issued in IN
Practice address
4440 S US Highway 41 Ste 102
Terre Haute, IN 47802-4409
Phone
(812) 232-2988
NPI assigned
Nov 30, 2015
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2011DT KY
Optometrist 152W00000X 18004228 IN Primary

Addresses

Primary practice location

4440 S US Highway 41 Ste 102
Terre Haute, IN 47802-4409

Mailing address

4440 S US Highway 41 Ste 102
Terre Haute, IN 47802-4409
Phone (812) 232-2988

Other practice location 1

4135 Fort Campbell Blvd
Hopkinsville, KY 42240-8706
Phone (270) 887-5765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200728000707 IN Practitioner - Optometry 9739465899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1950 E Greyhound Pass
Suite 2
Carmel, IN 46033-7788
Phone (317) 569-0860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004228INMDOptometrist
3425TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
First Impressions Optometric Associates, LLC Optometrist CurrentSince Feb 6, 2022 Accepting new patients
Ky Doctors of Optometry, PLLC Optometrist Past Accepting new patients

Locations

1950 E Greyhound Pass
Ste 2
Carmel, IN 46033
Phone (317) 569-0860

1030 Veterans Pkwy
Clarksville, IN 47129
Phone (812) 282-2020

2141 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 446-8010

4440 S US Highway 41
Ste 102
Terre Haute, IN 47802
Phone (812) 232-2988

Interoperability endpoints

  • Direct secure messaging: 26654@visionworks.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1407220585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 S US HIGHWAY 41 STE 102",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024409",
            "telephone_number": "812-232-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 S US HIGHWAY 41 STE 102",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024409",
            "telephone_number": "812-232-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4135 Fort Campbell Blvd",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422408706",
            "country_code": "US",
            "telephone_number": "270-887-5765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHENG",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2011DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.