Individual provider Active NPI

Elvis Chauca, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1609362698
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008832 Issued in NY
Practice address
4337 Broadway
New York, NY 10033-2411
Phone
(212) 568-6300
Fax
(212) 544-5094
NPI assigned
Jul 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 008832 NY Primary

Addresses

Primary practice location

4337 Broadway
New York, NY 10033-2411

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

14015 Sanford Ave Fl 1
Flushing, NY 11355-2686
Phone (718) 670-6400

Other practice location 2

215 W 125th St Fl 2
New York, NY 10027-4426
Phone (212) 491-2400

Other practice location 3

740 64th Street
Brooklyn, NY 11220-4714
Phone (718) 439-2000

Other practice location 4

215 E 95th St Frnt 1
New York, NY 10128-4077
Phone (212) 996-8000

Other practice location 5

96-10 Metropolitan Ave
Forest Hills, NY 11375-6625
Phone (718) 459-0400

Other practice location 6

590 5th Ave Lbby 1
New York, NY 10036-4702
Phone (212) 582-7117

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
I20240118000774 NY Practitioner - Optometry 1355793035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

215 W 125TH St
FL 2
New York, NY 10027-4426
Phone (212) 491-2400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Apr 22, 2024 Accepting new patients
Advantagecare Physicians PC CurrentSince Apr 22, 2024 Accepting new patients
L Eye C Medical Inc Optometrist CurrentSince Jan 1, 2024 Accepting new patients
Kingsbridge Optometric Eye Care P.C. Optometrist PastSince Nov 1, 2014 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

740 64th St
Brooklyn, NY 11220
Phone (718) 439-2000

14015 Sanford Ave
Fl 1
Flushing, NY 11355
Phone (718) 670-6400

9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400

2136 44th Dr
Long Island City, NY 11101
Phone (718) 268-7709

215 W 125th St
New York, NY 10027
Phone (212) 491-2400

215 W 125th St
Fl 2
New York, NY 10027
Phone (212) 491-2400

215 E 95th St
Frnt 1
New York, NY 10128
Phone (212) 996-8000

590 5th Ave
Lbby 1
New York, NY 10036
Phone (212) 582-7117

4337 Broadway
New York, NY 10033
Phone (212) 523-5201

55 Water St
Fl 2
New York, NY 10041

Interoperability endpoints

  • Direct secure messaging: echauca53317@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 4

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": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1609362698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100332411",
            "telephone_number": "212-568-6300",
            "fax_number": "212-544-5094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14015 Sanford Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552686",
            "country_code": "US",
            "telephone_number": "718-670-6400",
            "fax_number": "718-663-5008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 W 125th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274426",
            "country_code": "US",
            "telephone_number": "212-491-2400",
            "fax_number": "212-491-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 64th Street",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112204714",
            "country_code": "US",
            "telephone_number": "718-439-2000",
            "fax_number": "718-439-2004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 E 95th St Frnt 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101284077",
            "country_code": "US",
            "telephone_number": "212-996-8000",
            "fax_number": "212-423-3904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "96-10 Metropolitan Ave",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113756625",
            "country_code": "US",
            "telephone_number": "718-459-0400",
            "fax_number": "718-670-6479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 5th Ave Lbby 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100364702",
            "country_code": "US",
            "telephone_number": "212-582-7117",
            "fax_number": "212-484-3531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUCA",
        "first_name": "ELVIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.