Active NPI
Jeffrey M Chanin, OD
- Optometrist
- Plainview, NY
National Provider Identifier
1811153133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 007312
- Practice address
- 1004 Old Country Rd
Plainview, NY 11803-4917 - Phone
- (516) 681-1161
- NPI assigned
- Aug 6, 2008
- Last updated
- Dec 21, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 007312 | NY | Primary |
Addresses
Primary practice location
1004 Old Country Rd
Plainview, NY 11803-4917
Mailing address
159 Express St
Attn: Susan Ahearn (Davis Vision)
Plainview, NY 11803-2404
Phone (516) 827-6727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007312 | Other | NY | LICENCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007312 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Optometrist | Past | Accepting new patients |
| Empire Vision Center Inc | Optometrist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Empire Vision Centers
- Technician/Technologist
- Brockport, NY
- NPI 1841253614
Optometrist
-
dba Davis Vision
- Technician/Technologist
- Kew Gardens, NY
- NPI 1699974642
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1811153133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 EXPRESS ST",
"address_2": "ATTN: SUSAN AHEARN (DAVIS VISION)",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118032404",
"telephone_number": "516-827-6727",
"fax_number": "516-733-5508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 OLD COUNTRY RD",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118034917",
"telephone_number": "516-681-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANIN",
"first_name": "JEFFREY",
"middle_name": "M",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-06",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007312",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE",
"identifier": "007312",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plainview, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.