Elzie C. Chan-Englender, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

T006563-1 Issued in NY

Practice address

107-20 71St Continental Avenue
Forest Hills, NY 11375-0000

Phone

(718) 544-2200

Fax

(718) 544-2102

NPI assigned

Jun 11, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, FL2 enrollments

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 2

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.07 of 100Reported as apm

Quality

79.77

Promoting interoperability

88.77

Improvement activities

40

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 and National Provider Directory roles.

• Elzie Chan-Englender OD PC

  • Optometrist
  • Forest Hills, NY
  • NPI 1700181112
  Medicare reassignment NPD Authorized official
• J&E Optical Center, LLC

  • Optometrist
  • Jackson Heights, NY
  • NPI 1770038416
  Medicare reassignment NPD Authorized official
• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Tallahassee, FL
  • NPI 1073907028
  Medicare reassignment NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Palm Harbor, FL
  • NPI 1184142036
  NPD
• Myeyedr Optometry of Florida, LLC

  • Optometrist
  • Clearwater, FL
  • NPI 1730054594
  NPD
• Harvey Moscot , O.D. P.C.

  • Optometrist
  • New York, NY
  • NPI 1760589030
  NPD (past)
• Raymond Fong MD, PC

  • Ophthalmology Physician
  • Flushing, NY
  • NPI 1619196516
  NPD (past)
• Shop Eyeglasses Today Inc

  • Optometrist
  • Jackson Heights, NY
  • NPI 1336916873
  NPD (past)
• Swift Eyewear Inc

  • Eyewear Supplier
  • Massena, NY
  • NPI 1477019305
  NPD (past)

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

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646524800000",
    "number": "1508860065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107-20 71ST CONTINENTAL AVENUE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113750000",
            "telephone_number": "718-544-2200",
            "fax_number": "718-544-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107-20 71ST CONTINENTAL AVENUE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113750000",
            "telephone_number": "718-544-2200",
            "fax_number": "718-544-2102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215206",
            "country_code": "US",
            "telephone_number": "516-470-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN-ENGLENDER",
        "first_name": "ELZIE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-11",
        "last_updated": "2022-03-06",
        "certification_date": "2022-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "TPOP17",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "21313-875",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "T006563-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02396463",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tuhin Chakrabarti
• Urmi Chakrabarti
• Ilana Chamalov
• Tasha H Chambers Harvey
• Charu Champaneri, M.D.,FAAP
• Charlene H Chan, LCSW
• Frankie Chan, DO
• Jamie Chan, DDS
• Ken Chan, DO
• Vanessa Chan, M.A., CCC-SLP

• Optometrist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.