Individual provider Active NPI

Pauline Huang, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1669537064
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006835 Issued in NY
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

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03035985MedicaidNY

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
I20050422000925 NY Practitioner - Optometry 3577501121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Eye Physician PLLCGroup PAC ID 4981658853, 5 clinicians

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

LicenseStateTypeSpecialty
TUV006835NYMDOptometrist
006835NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Eye Physician PLLC Optometrist CurrentSince Mar 21, 2019 Accepting new patients
Grand Fashion Optical, Inc Optometrist PastSince Nov 17, 2019 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

Verify at the official NPI Registry.