Alice Jue Jue Chen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009498 Issued in NY

Practice address

4504 46TH St
Sunnyside, NY 11104-1702

Phone

(718) 784-2580

NPI assigned

Jan 4, 2022

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sunny Vision Optometry PC

  • Optometrist
  • Sunnyside, NY
  • NPI 1003458415
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1487315297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COURT SQUARE WEST",
            "address_2": "APT 417",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4504 46TH ST",
            "city": "SUNNYSIDE",
            "state": "NY",
            "postal_code": "111041702",
            "telephone_number": "718-784-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ALICE JUE JUE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vijay Chadderwala, D.O.
• Lorell Chalas, MSED
• Dong Soo Chang
• Soo Jin Chang
• Yoonsun Chang, RPH
• Charlie Chen, DDS
• Lisa C Chen, DO
• Felicita Chia, M.D
• Leo Choi
• Chutima Phanpho Physical Therapy PLLC

• Optometrist in Sunnyside, NY
• Providers in Sunnyside, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.