Individual provider Active NPI

Christopher Chan, O.D.

  • Optometrist
  • Oakland Gardens, NY
National Provider Identifier
1821440322
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008489 Issued in NY
Practice address
21411 73Rd Ave
Oakland Gardens, NY 11364-2947
Phone
(718) 225-5533
NPI assigned
Jul 7, 2016
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 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 008489 NY Primary

Addresses

Primary practice location

21411 73Rd Ave
Oakland Gardens, NY 11364-2947

Mailing address

13512 Roosevelt Ave
Flushing, NY 11354-5342
Phone (718) 886-8637

Other practice location 1

79 Middleville Rd
Northport, NY 11768-2200
Phone (631) 261-4400

Other practice location 2

13512 Roosevelt Ave
Flushing, NY 11354
Phone (718) 886-8637

Other practice location 3

511 Boston Post Rd
Port Chester, NY 10573
Phone (914) 937-3955

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

Practice roles

OrganizationSpecialtyStatusNew patients
Windsor Park Vision Center, LTD CurrentSince Jul 9, 2025 Accepting new patients
Precision Optometry PLLC Optometrist Past Accepting new patients

Locations

21411 73rd Ave
Oakland Gdns, NY 11364
Phone (718) 225-5533

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1821440322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13512 ROOSEVELT AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545342",
            "telephone_number": "718-886-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21411 73RD AVE",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113642947",
            "telephone_number": "718-225-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Middleville Rd",
            "address_purpose": "LOCATION",
            "city": "Northport",
            "state": "NY",
            "postal_code": "117682200",
            "country_code": "US",
            "telephone_number": "631-261-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13512 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "11354",
            "country_code": "US",
            "telephone_number": "718-886-8637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Port Chester",
            "state": "NY",
            "postal_code": "10573",
            "country_code": "US",
            "telephone_number": "914-937-3955",
            "fax_number": "914-937-0586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.