Individual provider Active NPI

Andrew Tang, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1437533452
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008513-1 Issued in NY
Practice address
2133 86TH St
Brooklyn, NY 11214-3205
Phone
(718) 449-1525
Fax
(718) 449-2723
NPI assigned
Jul 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008513-1 NY Primary

Addresses

Primary practice location

2133 86TH St
Brooklyn, NY 11214-3205

Mailing address

2133 86TH St
Brooklyn, NY 11214-3205
Phone (718) 449-1525

Other practice location 1

1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone (215) 276-6173

Other identifiers 1

IdentifierTypeStateIssuer
13584887OtherPACAQH NUMBER

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
I20161111001149 NY Practitioner - Optometry 0244545978 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

730 Route 304
Suite 5
New City, NY 10956-2842
Phone (845) 816-2775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV008513-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Vision Optometry Downtown PLLC. Optometrist CurrentSince Mar 24, 2019 Accepting new patients
Empire Vision Center, Inc CurrentSince Oct 1, 2016 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Oct 1, 2016 Accepting new patients
Andrew Tang OD PLLC Optometrist CurrentSince Apr 13, 2023 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients

Locations

2133 86th St
Brooklyn, NY 11214
Phone (718) 449-1525

222 Airport Plaza Blvd
Farmingdale, NY 11735
Phone (631) 694-5406

730 Route 304
Ste 5
New City, NY 10956
Phone (212) 300-6782

60 Saint James Pl
New York, NY 10038
Phone (212) 227-1268

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

Organizations & group practices 5

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": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1437533452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143205",
            "telephone_number": "718-449-1525",
            "fax_number": "718-449-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143205",
            "telephone_number": "718-449-1525",
            "fax_number": "718-449-2723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 W Godfrey Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413323",
            "country_code": "US",
            "telephone_number": "215-276-6173",
            "fax_number": "215-276-1329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANG",
        "first_name": "ANDREW",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008513-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "13584887",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.