Individual provider Active NPI

Susan Chen, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1811663966
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009438 Issued in NY
Practice address
235 Park Ave S FL 2
New York, NY 10003-1405
Phone
(212) 844-2020
NPI assigned
Aug 19, 2021
Last updated
Aug 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009438 NY Primary

Addresses

Primary practice location

235 Park Ave S FL 2
New York, NY 10003-1405

Mailing address

6960 108TH St Apt 514
Forest Hills, NY 11375-4331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.99 of 100Reported as group
Quality
83.72
Promoting interoperability
88
Improvement activities
40
Cost
96.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009438NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Square Eye Center LLC Optometrist CurrentSince May 3, 2022 Accepting new patients
Union Square Eye Care LLC Optometrist CurrentSince May 3, 2022 Accepting new patients

Locations

1815 Madison Ave
New York, NY 10035

235 Park Ave S
Fl 2
New York, NY 10003
Phone (212) 614-0039

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14049/brand/10/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1811663966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 108TH ST APT 514",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PARK AVE S FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031405",
            "telephone_number": "212-844-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SUSAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.