Kelvin Win, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

27OA00628400 Issued in NJ

Practice address

223 State Route 18 Ste 107
East Brunswick, NJ 08816-1913

Phone

(732) 247-2847

Fax

(732) 246-2650

NPI assigned

May 13, 2010

Last updated

Feb 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vision Consultants of New Jersey, LLC

  • Optometrist
  • Freehold, NJ
  • NPI 1245668714
  Medicare reassignment NPD Authorized official
• Changmin Duan OD PA

  • Optometrist
  • East Brunswick, NJ
  • NPI 1265585426
  Medicare reassignment

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1437477486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 VANTAGE CT",
            "city": "DENVILLE",
            "state": "NJ",
            "postal_code": "078343453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 STATE ROUTE 18 STE 107",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161913",
            "telephone_number": "732-247-2847",
            "fax_number": "732-246-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIN",
        "first_name": "KELVIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00628400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanford F. White, M.D.
• Howard Ernest Wiener, M.D.
• Maria D Wiener, MSW,LCSW
• Joshua Aaron Wilkes, MD
• Ryan Wilson, MS, LAC. NCC, CPRP
• Heidi Kathleen Winchman, MD
• Cheyenne Winstead, DPT
• Steven Winter, M.D.
• Randa Wisa
• Richard S Witlin, MD

• Optometrist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.