Individual provider Active NPI

Grace Ji, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1639060221
Registry record updated Jul 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011233 Issued in NY
Practice address
7 E 33Rd St
New York, NY 10016-5002
Phone
(212) 868-3310
NPI assigned
Jul 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 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 011233 NY Primary

Addresses

Primary practice location

7 E 33Rd St
New York, NY 10016-5002

Mailing address

7363 192ND St
Fresh Meadows, NY 11366-1857
Phone (718) 517-0261

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
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7363 192ND St
Fresh Meadows, NY 11366-1857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011233NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
French Optical Fashion Inc CurrentSince Jul 13, 2025 Accepting new patients
Free Form Optical Inc PastSince Jul 13, 2025 Accepting new patients

Locations

7 E 33rd St
New York, NY 10016
Phone (212) 868-3310

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752969600000",
    "number": "1639060221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7363 192ND ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661857",
            "telephone_number": "718-517-0261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E 33RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165002",
            "telephone_number": "212-868-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JI",
        "first_name": "GRACE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-20",
        "certification_date": "2025-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.