Individual provider Active NPI

Wing Kin Cheung, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1417025867
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006136-1 Issued in NY
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

Updated by the provider on Jun 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02277907MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000687 NY Practitioner - Optometry 9638163660 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV006136-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Aug 19, 2024 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 19, 2024 Accepting new patients
Pacific Optometry, Inc. Optometrist Current Accepting new patients

Locations

300 Community Dr
Plandome, NY 11030

Interoperability endpoints

  • Direct secure messaging: wcheung28890@northwell.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.