Active NPI
Andy Chen, OD
- Optometrist
- Mount Kisco, NY
National Provider Identifier
1619641479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10372
- Practice address
- 1 S Moger Ave
Mount Kisco, NY 10549-2204 - Phone
- (914) 241-0625
- NPI assigned
- Aug 5, 2021
- Last updated
- Aug 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10372 | TX | Primary |
Addresses
Primary practice location
1 S Moger Ave
Mount Kisco, NY 10549-2204
Mailing address
42 Broad St W Apt 803
Mount Vernon, NY 10552-2173
Phone (516) 967-6320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
42 Broad St W
Apt 916
Mount Vernon, NY 10552-2174
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10372 | TX | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
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": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724457600000",
"number": "1619641479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 BROAD ST W APT 803",
"city": "MOUNT VERNON",
"state": "NY",
"postal_code": "105522173",
"telephone_number": "516-967-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S MOGER AVE",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105492204",
"telephone_number": "914-241-0625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ANDY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-05",
"last_updated": "2024-08-24",
"certification_date": "2024-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "10372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2024; 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.