Individual provider Active NPI

Susan Cheng, O.D.

  • Optometrist
  • Cambridge, MA
National Provider Identifier
1629358346
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4868 Issued in MA
Practice address
1 Brattle SQ
Suite A2
Cambridge, MA 02138-3723
Phone
(617) 547-6080
Fax
(617) 576-9223
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4868 MA Primary

Addresses

Primary practice location

1 Brattle SQ
Suite A2
Cambridge, MA 02138-3723

Mailing address

159 Express St
C/O Davis Vision
Plainview, NY 11803-2404
Phone (516) 827-6727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20111028000517 MA Practitioner - Optometry 5991978421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Kublin OD PCGroup PAC ID 9537216361, 5 clinicians

Practice addresses (Care Compare)

175 Cambridge St
Boston, MA 02114-2743
Phone (617) 523-7006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Kublin OD, PC Optometrist CurrentSince Jun 23, 2017 Accepting new patients
Aeg Massachusetts Professional PC Optometrist CurrentSince Mar 21, 2025 Accepting new patients
Empire Vision Center, Inc Optometrist Past Accepting new patients
Pro Optical Optometrist Past Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients

Locations

175 Cambridge St
Boston, MA 02114
Phone (617) 523-7006

175 Cambridge St
Ste 130
Boston, MA 02114

12 Eliot St
Cambridge, MA 02138
Phone (617) 354-3303

Organizations & group practices 6

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": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314230400000",
    "number": "1629358346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 EXPRESS ST",
            "address_2": "C/O DAVIS VISION",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032404",
            "telephone_number": "516-827-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRATTLE SQ",
            "address_2": "SUITE A2",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021383723",
            "telephone_number": "617-547-6080",
            "fax_number": "617-576-9223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MA

Sources for this page

Verify at the official NPI Registry.