Individual provider Active NPI

Alex Yang, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1790331023
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009114 Issued in NY
Practice address
1409 3Rd Ave
New York, NY 10075-0502
Phone
(212) 249-6365
NPI assigned
Aug 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009114 NY Primary

Addresses

Primary practice location

1409 3Rd Ave
New York, NY 10075-0502

Mailing address

1409 3Rd Ave
New York, NY 10075-0502

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
I20220314000909 NY Practitioner - Optometry 4284029067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
The Gelman's Optical, IncGroup PAC ID 5395837488, 3 clinicians
LMJ Vision, Inc.Group PAC ID 7315268240, 2 clinicians
JL Vision IncGroup PAC ID 5890071534, 3 clinicians

Practice addresses (Care Compare)

1409 3Rd Ave
New York, NY 10075-0502
Phone (212) 249-3635

173 7TH Ave
New York, NY 10011-1804
Phone (212) 627-4488

315 Court St
Brooklyn, NY 11231-4337
Phone (718) 596-3740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LMJ Vision, Inc. Optometrist CurrentSince Mar 1, 2022 Accepting new patients
JL Vision, Inc Optometrist CurrentSince Mar 1, 2022 Accepting new patients
The Gelman's Optical, Inc Optometrist CurrentSince Mar 1, 2022 Accepting new patients

Locations

315 Court St
Brooklyn, NY 11231
Phone (718) 596-3740

1353 3rd Ave
New York, NY 10075
Phone (212) 249-3635

1409 3rd Ave
New York, NY 10075
Phone (212) 249-3635

173 7th Ave
New York, NY 10011
Phone (212) 627-4488

Organizations & group practices 3

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1790331023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750502",
            "telephone_number": "212-249-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "ALEX",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-13",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.