Active NPI
Wing Kin Cheung, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1417025867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006136-1
- Practice address
- 87 Elizabeth St
Pacific Optometry, P.C.
New York, NY 10013-4992 - Phone
- (212) 219-8260
- NPI assigned
- Dec 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006136-1 | NY | Primary |
Addresses
Primary practice location
87 Elizabeth St
Pacific Optometry, P.C.
New York, NY 10013-4992
Mailing address
855 72ND Street 2ND Floor
Brooklyn, NY 11228
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02277907 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006136-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Pacific Optometry, Inc. | Optometrist | Current | Accepting new patients |
Locations
300 Community Dr
Plandome, NY 11030
Interoperability endpoints
- wcheung28890@northwell.direct-ci.com
- wcheung2@northwellhealth.intellechartdirect.net
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 and National Provider Directory roles.
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Optometrist
- New York, NY
- NPI 1235352576
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1417025867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 72ND STREET 2ND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 ELIZABETH ST",
"address_2": "PACIFIC OPTOMETRY, P.C.",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134992",
"telephone_number": "212-219-8260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEUNG",
"first_name": "WING",
"middle_name": "KIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006136-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02277907",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.