Active NPI
Elkie Fung
- Vision Therapy Optometrist
- New York, NY
National Provider Identifier
1447805676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- TUV008973-01
- Practice address
- 33 W 42ND St
New York, NY 10036-8005 - Phone
- (929) 354-6505
- NPI assigned
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008973-01 | NY | |
| Vision Therapy Optometrist | 152WV0400X | TUV008973-01 | NY | Primary |
Addresses
Primary practice location
33 W 42ND St
New York, NY 10036-8005
Mailing address
105 W 55TH St Apt 9D
New York, NY 10019-5337
Phone (929) 354-6505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV008973-01 | NY | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1447805676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 W 55TH ST APT 9D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100195337",
"telephone_number": "929-354-6505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 42ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100368005",
"telephone_number": "929-354-6505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "ELKIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-05",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008973-01",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "NY",
"license": "TUV008973-01",
"primary": true
}
],
"identifiers": [],
"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 Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.