Individual provider Active NPI

Yung-Han Chen, O.D.

  • Pediatric Optometrist
  • New York, NY
National Provider Identifier
1629333034
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric OptometristTaxonomy code 152WP0200X
License
TUV007952-1 Issued in NY
Practice address
50 Madison Ave
New York, NY 10010-1617
Phone
(212) 366-1010
Fax
(212) 823-2008
NPI assigned
Jul 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6111 OH
Pediatric Optometrist 152WP0200X TUV007952-1 NY Primary

Addresses

Primary practice location

50 Madison Ave
New York, NY 10010-1617

Mailing address

50 Madison Ave
New York, NY 10010-1617
Phone (212) 366-1010

Other identifiers 1

IdentifierTypeStateIssuer
04023832MedicaidNY

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
I20150417000205 NY Practitioner - Optometry 5496901076 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6111OHMDOptometrist
TUV007952-1NYMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Swift Optometry Care PC Optometrist CurrentSince Jul 28, 2015 Accepting new patients
Mda Management Inc Optometrist CurrentSince Mar 20, 2021 Accepting new patients
Shades of Nostrand Inc. Past Accepting new patients
Fort Tryon Optical Inc. Optometrist PastSince Mar 20, 2021 Accepting new patients

Locations

385 E 149th St
Bronx, NY 10455
Phone (347) 385-2633

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

250 Skillman St
Ste 202
Brooklyn, NY 11205

19106 Hillside Ave
Jamaica, NY 11423
Phone (718) 439-8533

4526 Broadway
New York, NY 10040
Phone (212) 304-3585

275 Moriches Rd
Saint James, NY 11780
Phone (516) 317-8913

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": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1629333034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101617",
            "telephone_number": "212-366-1010",
            "fax_number": "212-823-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MADISON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100101617",
            "telephone_number": "212-366-1010",
            "fax_number": "212-823-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YUNG-HAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6111",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "TUV007952-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04023832",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.