Individual provider Active NPI

Selena Huang, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1790359263
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009447-01 Issued in NY
Practice address
133 E 58TH St Ste 1102
New York, NY 10022-1273
Phone
(917) 970-9377
NPI assigned
May 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TUV009447-01 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X WA

Addresses

Primary practice location

133 E 58TH St Ste 1102
New York, NY 10022-1273

Mailing address

1812 150TH St
Whitestone, NY 11357-3135
Phone (646) 204-8662

Other practice location 1

218 2nd Ave Ste 403
New York, NY 10003-5817
Phone (212) 255-2240

Other practice location 2

14020 Sanford Ave Apt 1C
Flushing, NY 11355-2559
Phone (718) 762-3838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210901001061 WA Practitioner - Optometry 2961808886 Reassigns benefits to 1 organization
I20230428001967 NY Practitioner - Optometry 2961808886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A and D Medical, PCGroup PAC ID 4789775206, 6 clinicians

Practice addresses (Care Compare)

2464 Coney Island Ave
Suite 3
Brooklyn, NY 11223-5009
Phone (718) 676-6464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009447-01NYMDOptometrist
009447NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
A & D Medical, PC Single Specialty CurrentSince Apr 1, 2023 Accepting new patients
Specialty Eyecare Group Inc Optometrist CurrentSince Aug 4, 2021 Accepting new patients
Amy Y Chen Optometry P.C. Optometrist PastSince Feb 9, 2017 Accepting new patients
Northwest Vision Consultants Single Specialty PastSince May 25, 2021 Accepting new patients

Locations

2464 Coney Island Ave
Ste 3
Brooklyn, NY 11223
Phone (718) 676-6464

133 E 58th St
Ste 1102
New York, NY 10022
Phone (212) 316-1200

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

225 106th Ave NE
Bellevue, WA 98004
Phone (425) 454-2028

11830 NE 128th St
Ste 1
Kirkland, WA 98034
Phone (425) 814-8900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1790359263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 150TH ST",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113573135",
            "telephone_number": "646-204-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST STE 1102",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221273",
            "telephone_number": "917-970-9377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 2nd Ave Ste 403",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100035817",
            "country_code": "US",
            "telephone_number": "212-255-2240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14020 Sanford Ave Apt 1C",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113552559",
            "country_code": "US",
            "telephone_number": "718-762-3838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "SELENA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-18",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009447-01",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.