Connie Dong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT005312 Issued in NY

Practice address

25 W 43Rd St
Suite 316
New York, NY 10036-7406

Phone

(646) 875-8828

Fax

(212) 320-0368

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Metropolitan Optometric Associates, PC

  • Optometrist
  • Bronx, NY
  • NPI 1437246279
  NPD (past) Authorized official

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1609943182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 W 239TH ST",
            "address_2": "APT B3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631291",
            "telephone_number": "646-875-8828",
            "fax_number": "212-320-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W 43RD ST",
            "address_2": "SUITE 316",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100367406",
            "telephone_number": "646-875-8828",
            "fax_number": "212-320-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "CONNIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT005312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2341237",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "NY5312",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Donelson, P.T.
• Rajeswara Prasad Donepudi, PHARMACIST
• Dong Hwan Acupuncture PC
• Arnold Chung Dong, RPH
• Bingyi Dong
• Davin Dennis Dong, O.D.
• Deanna Dong, FNP-C
• Deborah Dong, LCSW
• Fangning Dong, LP
• Florence K Dong, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.