Active NPI
Stephanie Ku, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1497896435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV007207
- Practice address
- 205 E 64TH St
Suite 101
New York, NY 10065-6635 - Phone
- (212) 888-4100
- Fax
- (212) 888-4111
- NPI assigned
- Feb 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | TUV007207 | NY | Primary |
| Pediatric Optometrist | 152WP0200X | 13036T | CA |
Addresses
Primary practice location
205 E 64TH St
Suite 101
New York, NY 10065-6635
Mailing address
205 E 64TH St
Suite 101
New York, NY 10065-6635
Phone (212) 888-4100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV007207 | NY | MD | Optometrist |
| 13036T | CA | MD | Pediatric Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmon Ophthalmology P.C | Past | Accepting new patients | |
| Harmon Optical Corp. | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- New York, NY
- NPI 1033301908
-
- Eyewear Supplier
- New York, NY
- NPI 1891136552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305417600000",
"number": "1497896435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E 64TH ST",
"address_2": "SUITE 101",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656635",
"telephone_number": "212-888-4100",
"fax_number": "212-888-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E 64TH ST",
"address_2": "SUITE 101",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656635",
"telephone_number": "212-888-4100",
"fax_number": "212-888-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KU",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-11",
"last_updated": "2011-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV007207",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "13036T",
"primary": false
}
],
"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 May 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.