Active NPI
Pauline Huang, O.D.
- Optometrist
- New York, NY
National Provider Identifier
1669537064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV006835
- Practice address
- 99 Elizabeth St FL 2
New York, NY 10013-4729 - Phone
- (212) 226-8837
- Fax
- (212) 227-4651
- NPI assigned
- Dec 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV006835 | NY | Primary |
Addresses
Primary practice location
99 Elizabeth St FL 2
New York, NY 10013-4729
Mailing address
99 Elizabeth St FL 2
New York, NY 10013-4729
Phone (212) 227-8837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03035985 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
99 Elizabeth St
New York, NY 10013-4729
Phone (212) 227-8837
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV006835 | NY | MD | Optometrist |
| 006835 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eye Physician PLLC | Optometrist | Current | Accepting new patients |
| Grand Fashion Optical, Inc | Optometrist | Past | Accepting new patients |
Locations
2 Mott St
Rm 206
New York, NY 10013
Phone (212) 227-4505
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": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549929600000",
"number": "1669537064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 ELIZABETH ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134729",
"telephone_number": "212-227-8837",
"fax_number": "212-227-4651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 ELIZABETH ST FL 2",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134729",
"telephone_number": "212-226-8837",
"fax_number": "212-227-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "PAULINE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-26",
"last_updated": "2019-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV006835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03035985",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.