Organization Active NPI

Medical and Surgical Eye Specialist, PLLC

  • Ophthalmology Physician
  • Flushing, NY
National Provider Identifier
1669640512
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
206272 Issued in NY
Legal business name
MEDICAL AND SURGICAL EYE SPECIALIST, PLLC
Practice address
4235 Main St
3D
Flushing, NY 11355-3956
Phone
(718) 886-8318
Fax
(929) 667-7661
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Dr. Rumei Yuan
Title
MD
Phone
(718) 886-8318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 206272 NY Primary

Addresses

Primary practice location

4235 Main St
3D
Flushing, NY 11355-3956

Mailing address

4235 Main St
3D
Flushing, NY 11355-3956
Phone (718) 886-8318

Other identifiers 1

IdentifierTypeStateIssuer
01777417MedicaidNY

National Provider Directory

National Provider Directory

Locations

4235 Main St
Ste 3D
Flushing, NY 11355
Phone (718) 886-8318

81 Elizabeth St
Ste 402
New York, NY 10013
Phone (212) 966-5868

139 Centre St
Ste 610
New York, NY 10013
Phone (212) 966-5880

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1669640512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST",
            "address_2": "3D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553956",
            "telephone_number": "718-886-8318",
            "fax_number": "718-559-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 MAIN ST",
            "address_2": "3D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553956",
            "telephone_number": "718-886-8318",
            "fax_number": "929-667-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND SURGICAL EYE SPECIALIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "YUAN",
        "authorized_official_first_name": "RUMEI",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "718-886-8318",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "206272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01777417",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.