Individual provider Active NPI

Linda Cheng, O.D.

  • Optometrist
  • Flushing, NY
National Provider Identifier
1457598534
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007113 Issued in NY
Practice address
4161 Kissena Blvd
Flushing, NY 11355-3105
Phone
(718) 539-9254
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 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 007113 NY Primary

Addresses

Primary practice location

4161 Kissena Blvd
Flushing, NY 11355-3105

Mailing address

21711 40TH Ave
Bayside, NY 11361-2309
Phone (718) 279-9003

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
I20230510000625 NY Practitioner - Optometry 6002272440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brooklyn Ophthalmology PLLCGroup PAC ID 3971817461, 3 clinicians

Practice addresses (Care Compare)

18 Franklin PL
Great Neck, NY 11023-1229

4161 Kissena Blvd
Flushing, NY 11355-3181
Phone (718) 243-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007113NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Ophthalmology PLLC CurrentSince Feb 1, 2023 Accepting new patients
New York Eye Care & Surgery PC Past Accepting new patients

Locations

4014 Church Ave
Brooklyn, NY 11203
Phone (718) 287-2020

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231718400000",
    "number": "1457598534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21711 40TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612309",
            "telephone_number": "718-279-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553105",
            "telephone_number": "718-539-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "LINDA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.