Norman Chan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009046 Issued in NY

Practice address

4101 Bell Blvd
Bayside, NY 11361-2858

Phone

(718) 428-6700

NPI assigned

Aug 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Crystal Eyewear Inc

  • Optician
  • Elmhurst, NY
  • NPI 1770068645
  Medicare reassignment
• Bayside Vision Corp

  • Optometrist
  • Bayside, NY
  • NPI 1376225995
  NPD
• Coopercrwn Ny Corp

  • Optometrist
  • Bayside, NY
  • NPI 1760939730
  NPD (past)
• Danet Optical LTD

  • Optometrist
  • Bayside, NY
  • NPI 1467401539
  NPD (past)

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1669028304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612858",
            "telephone_number": "718-428-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 BELL BLVD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612858",
            "telephone_number": "718-428-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "NORMAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Chan-Chu
• Alison Chan
• Ching Melody Chan
• Jared Lee Chan
• Lori Chan, RDN
• Esther Jung Chang
• Seymour John Chaperon, P.T.
• Joanna Chappell, M.A. CCC-SLP
• Jessica L Chappina, AGPCNP-BC
• Mohanne Charles, LCSW

• Optometrist in Bayside, NY
• Providers in Bayside, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.