Individual provider Active NPI

Seung Choi

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1861086910
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009308-01 Issued in NY
Practice address
267 Broadway FL 2
Brooklyn, NY 11211-6216
Phone
(212) 764-0008
NPI assigned
Mar 1, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009308-01 NY Primary
Ophthalmology Physician 207W00000X 009308-01 NY

Addresses

Primary practice location

267 Broadway FL 2
Brooklyn, NY 11211-6216

Mailing address

608 Bergen Blvd
Ridgefield, NJ 07657-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210308001005 NY Practitioner - Optometry 0941616494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009308-01NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sightrite Inc Optometrist CurrentSince Mar 1, 2021 Accepting new patients

Locations

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

Organizations & group practices 1

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1861086910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 BERGEN BLVD",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 BROADWAY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116216",
            "telephone_number": "212-764-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SEUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009308-01",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "009308-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.