Elzie Chan-Englender OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006563 Issued in NY

Legal business name

ELZIE CHAN-ENGLENDER OD PC

Practice address

10720 71St Ave
Forest Hills, NY 11375-4725

Phone

(718) 544-2200

Fax

(718) 544-2102

NPI assigned

Jan 14, 2011

Last updated

Jan 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elzie Chan-Englender, O.D.NPI 1508860065

Title

Optometrist

Phone

(718) 544-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elzie C. Chan-Englender, O.D.

  • Optometrist
  • Forest Hills, NY
  • NPI 1508860065
  Medicare reassignment NPD Authorized official
• Happy Hong, O.D.

  • Optometrist
  • New York, NY
  • NPI 1427052984
  NPD (past)
• Harvey Moscot, O.D.

  • Optometrist
  • New York, NY
  • NPI 1154307221
  NPD (past)

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

{
    "created_epoch": "1294963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1700181112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 S 12TH ST",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110405569",
            "telephone_number": "212-929-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 71ST AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754725",
            "telephone_number": "718-544-2200",
            "fax_number": "718-544-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELZIE CHAN-ENGLENDER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-14",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "CHAN-ENGLENDER",
        "authorized_official_first_name": "ELZIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "718-544-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.