Individual provider Active NPI

Jeremy Liang, OD

  • Optometrist
  • New Rochelle, NY
National Provider Identifier
1457033151
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009880 Issued in NY
Practice address
140 Lockwood Ave Ste 220
New Rochelle, NY 10801-4908
Phone
(914) 235-9500
NPI assigned
Aug 2, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009880 NY Primary

Addresses

Primary practice location

140 Lockwood Ave Ste 220
New Rochelle, NY 10801-4908

Mailing address

1546 Wenonah TRL
Mohegan Lake, NY 10547-1743
Phone (914) 484-4676

Other practice location 1

1940 Commerce St
Yorktown Heights, NY 10598-4428
Phone (914) 962-5506

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
I20230920002712 NY Practitioner - Optometry 8224482542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.5 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009880NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC CurrentSince Aug 15, 2023 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Aug 15, 2023 Accepting new patients

Locations

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

140 Lockwood Ave
Ste 220
New Rochelle, NY 10801
Phone (914) 235-9500

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

1940 Commerce St
Yorktown Hts, NY 10598
Phone (914) 245-5200

Organizations & group practices 2

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1457033151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 WENONAH TRL",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "105471743",
            "telephone_number": "914-484-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LOCKWOOD AVE STE 220",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108014908",
            "telephone_number": "914-235-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 Commerce St",
            "address_purpose": "LOCATION",
            "city": "Yorktown Heights",
            "state": "NY",
            "postal_code": "105984428",
            "country_code": "US",
            "telephone_number": "914-962-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIANG",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.