Individual provider Active NPI

George Kuei-Jie Chen, OD

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1528607371
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009689 Issued in NY
Practice address
340 Jay St Ste 1
Brooklyn, NY 11201-2936
Phone
(718) 858-5000
NPI assigned
Dec 26, 2019
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009689 NY Primary

Addresses

Primary practice location

340 Jay St Ste 1
Brooklyn, NY 11201-2936

Mailing address

225 Cherry St Apt 9J
New York, NY 10002-8179
Phone (408) 220-4273

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230530000157 NY Practitioner - Optometry 8022449495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecrafters LLCGroup PAC ID 0547545469, 2 clinicians

Practice addresses (Care Compare)

340 Jay St
Brooklyn, NY 11201-2930
Phone (718) 858-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009689NYMDPsychologist
34329CAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecrafters LLC Optometrist CurrentSince Apr 17, 2023 Accepting new patients
Daniel Rafaelov OD P.C. Optometrist CurrentSince Apr 17, 2023 Accepting new patients

Locations

340 Jay St
Brooklyn, NY 11201
Phone (718) 858-5000

340 Jay St
Ste 1
Brooklyn, NY 11201
Phone (718) 858-5000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1528607371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CHERRY ST APT 9J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100028179",
            "telephone_number": "408-220-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 JAY ST STE 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012936",
            "telephone_number": "718-858-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "GEORGE",
        "middle_name": "KUEI-JIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-26",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.