Individual provider Active NPI

Melissa Lai-Ying Yip, O.D.

  • Optometrist
  • Flushing, NY
National Provider Identifier
1467694372
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007382 Issued in NY
Practice address
14008 Sanford Ave Ste 1
Flushing, NY 11355-2689
Phone
(718) 353-3211
Fax
(718) 353-3212
NPI assigned
Mar 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007382 NY Primary

Addresses

Primary practice location

14008 Sanford Ave Ste 1
Flushing, NY 11355-2689

Mailing address

14008 Sanford Ave Ste 1
Flushing, NY 11355-2689
Phone (718) 353-3211

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
I20120808000964 NY Practitioner - Optometry 4981850898 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007382NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Vision Consultants, LLC CurrentSince May 17, 2012 Accepting new patients
Ascend Vision Consultants LLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients

Locations

14008 Sanford Ave
Ste 1
Flushing, NY 11355
Phone (718) 353-3211

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": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1467694372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14008 SANFORD AVE STE 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552689",
            "telephone_number": "718-353-3211",
            "fax_number": "718-353-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14008 SANFORD AVE STE 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552689",
            "telephone_number": "718-353-3211",
            "fax_number": "718-353-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIP",
        "first_name": "MELISSA",
        "middle_name": "LAI-YING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.