Individual provider Active NPI

Catherine Quan, O.D.

  • Optometrist
  • Woodbury, NY
National Provider Identifier
1659641298
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV-5567 Issued in NY
Practice address
8025 Jericho Tpke
Woodbury, NY 11797-1230
Phone
(516) 364-7474
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV-5567 NY Primary

Addresses

Primary practice location

8025 Jericho Tpke
Woodbury, NY 11797-1230

Mailing address

31 Oaktree LN
Levittown, NY 11756-1520
Phone (516) 581-7476

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
I20120404000455 NY Practitioner - Optometry 3375703010 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005567NYMDMental Health Counselor
TUV-5567NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Michael C Hans OD PC Optometrist CurrentSince Jan 30, 2017 Accepting new patients
E.L.H. Optical, Inc. CurrentSince Jan 30, 2017 Accepting new patients
JD My Optics Corp Optometrist PastSince Aug 6, 2023 Accepting new patients

Locations

2365 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 796-3800

224 W Jericho Tpke
Syosset, NY 11791
Phone (516) 388-6846

Organizations & group practices 3

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": "1326240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1659641298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OAKTREE LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561520",
            "telephone_number": "516-581-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 JERICHO TPKE",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971230",
            "telephone_number": "516-364-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAN",
        "first_name": "CATHERINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV-5567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

Verify at the official NPI Registry.