Active NPI
Ming Xuan Li, OD
- Optometrist
- New York, NY
National Provider Identifier
1790459238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV009379-01
- Practice address
- 139 Centre St
New York, NY 10013-4552 - Phone
- (212) 219-2219
- NPI assigned
- Aug 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV009379-01 | NY | Primary |
Addresses
Primary practice location
139 Centre St
New York, NY 10013-4552
Mailing address
93 Madison St Apt 3a
New York, NY 10002-7239
Phone (857) 350-5271
Other practice location 1
5921 8th Ave
Brooklyn, NY 11220-4336
Phone (718) 851-4886
Other practice location 2
5301 8th Ave
Brooklyn, NY 11220-3260
Phone (718) 633-6888
Other names 1
- Dr. Sean Li
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV009379-01 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chinatown Optical Group, LLC | Single Specialty | Past | Accepting new patients |
| Brooklyn Optical Inc. | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724889600000",
"number": "1790459238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 MADISON ST APT 3A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100027239",
"telephone_number": "857-350-5271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 CENTRE ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134552",
"telephone_number": "212-219-2219"
}
],
"practiceLocations": [
{
"address_1": "5921 8th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112204336",
"country_code": "US",
"telephone_number": "718-851-4886",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5301 8th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112203260",
"country_code": "US",
"telephone_number": "718-633-6888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LI",
"first_name": "MING XUAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-08",
"last_updated": "2024-08-29",
"certification_date": "2024-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NY",
"license": "TUV009379-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SEAN",
"last_name": "LI",
"prefix": "DR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.