Individual provider Active NPI

Stephanie Ku, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1497896435
Registry record updated May 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007207 Issued in NY
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

Updated by the provider on May 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
TUV007207NYMDOptometrist
13036TCAMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmon Ophthalmology P.C PastSince Apr 5, 2007 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.

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.

Verify at the official NPI Registry.