Individual provider Active NPI

Charles H Neu, OD

  • Optometrist
  • Staten Island, NY
National Provider Identifier
1508924432
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV00028471 Issued in NY
Practice address
295 New Dorp Lane
Staten Island, NY 10306-3005
Phone
(718) 351-3006
Fax
(718) 351-3511
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV00028471 NY Primary

Addresses

Primary practice location

295 New Dorp Lane
Staten Island, NY 10306-3005

Mailing address

295 New Dorp Lane
Staten Island, NY 10306-3005
Phone (718) 351-3006

Other identifiers 3

IdentifierTypeStateIssuer
1C7786OtherHEALTH NET
P835128OtherNYOXFORD
00329451MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20100511000670 NY Practitioner - Optometry 4880722974 Practice locations: Staten Island, NY
O20100930019149 NY DME Supplier - Physician - Optometrist 9931227394 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

295 New Dorp Lane
Staten Island, NY 10306-3005

295 New Dorp LN
Staten Island, NY 10306-3005
Phone (718) 351-3006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2847NYMDAddiction (Substance Use Disorder) Counselor
TUV00028471NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1508924432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 NEW DORP LANE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063005",
            "telephone_number": "718-351-3006",
            "fax_number": "718-351-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 NEW DORP LANE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103063005",
            "telephone_number": "718-351-3006",
            "fax_number": "718-351-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEU",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV00028471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "1C7786",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P835128",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00329451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.