Individual provider Active NPI

Elizabeth Dang

  • Optometrist
  • Santa Ana, CA
National Provider Identifier
1629572862
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NA Issued in CA
Practice address
2310 Laramore LN
Santa Ana, CA 92706-1230
Phone
(174) 552-7322
NPI assigned
Mar 21, 2018
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NA CA Primary

Addresses

Primary practice location

2310 Laramore LN
Santa Ana, CA 92706-1230

Mailing address

2310 Laramore LN
Santa Ana, CA 92706-1230

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
I20230721000910 NY Practitioner - Optometry 6507196342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Nyc Jonathan Kruh MD PLLCGroup PAC ID 2264731033, 5 clinicians

Practice addresses (Care Compare)

33 5TH Ave
Apt 1a
New York, NY 10003-4377
Phone (212) 777-7270

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
88.88
Improvement activities
40
Cost
78.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34183CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Nyc Jonathan Kruh MD PLLC CurrentSince Jun 7, 2023 Accepting new patients
Cono M.Grasso, M.D.P.C. CurrentSince Jun 7, 2023 Accepting new patients

Locations

36 W 44th St
Ste 1203
New York, NY 10036
Phone (646) 413-1825

Interoperability endpoints

  • Direct secure messaging: edang@kruh.intellechartdirect.net

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1629572862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 LARAMORE LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 LARAMORE LN",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927061230",
            "telephone_number": "174-552-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.