Individual provider Active NPI

Min Chen

  • Optometrist
  • Flushing, NY
National Provider Identifier
1629853833
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009907 Issued in NY
Practice address
13668 Roosevelt Ave Ste CB
Flushing, NY 11354-5510
Phone
(929) 707-5006
NPI assigned
Aug 28, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009907 NY Primary

Addresses

Primary practice location

13668 Roosevelt Ave Ste CB
Flushing, NY 11354-5510

Mailing address

13668 Roosevelt Ave Ste CB
Flushing, NY 11354-5510
Phone (929) 707-5006

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
I20240226002697 NY Practitioner - Optometry 4385089747 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Eyecare Optometry PLLC Optometrist Current Accepting new patients
Chinatown Optical Group, LLC CurrentSince Jan 13, 2024 Accepting new patients
Noon Optometry PLLC Optometrist CurrentSince Jan 13, 2025 Accepting new patients
Msight Vision Optometrist CurrentSince Mar 29, 2025 Accepting new patients
Brooklyn Optical Inc. PastSince Sep 1, 2023 Accepting new patients

Locations

13668 Roosevelt Ave
Ste Cb
Flushing, NY 11354
Phone (917) 621-9283

Organizations & group practices 5

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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1629853833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE STE CB",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "929-707-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE STE CB",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "929-707-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.