Individual provider Active NPI

Mackenzie Chapman

  • Optometrist
  • New York, NY
National Provider Identifier
1780361972
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009845 Issued in NY
Practice address
1258 6TH Ave
New York, NY 10020-1511
Phone
(646) 789-4843
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009845 NY Primary

Addresses

Primary practice location

1258 6TH Ave
New York, NY 10020-1511

Mailing address

2315 30TH Ave Apt B2
Astoria, NY 11102-3214
Phone (518) 817-9884

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
I20240311000785 NY Practitioner - Optometry 9638515810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Parkslope Eye Care, IncGroup PAC ID 8820341845, 2 clinicians

Practice addresses (Care Compare)

334 9TH St
Brooklyn, NY 11215-8129
Phone (718) 504-8660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center, Inc Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Parkslope Eye Care, Inc Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Flatbush Eye Care Inc Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Warby Parker Inc. PastSince Jul 2, 2023 Accepting new patients

Locations

1054 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 223-5707

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1780361972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 30TH AVE APT B2",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111023214",
            "telephone_number": "518-817-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1258 6TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201511",
            "telephone_number": "646-789-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.