Individual provider Active NPI

Vivien Jingyi Xu, OPTICIAN

  • Optician
  • Brooklyn, NY
National Provider Identifier
1881017705
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
C009422 Issued in NY
Practice address
6507 18TH Ave
Brooklyn, NY 11204-3703
Phone
(718) 708-5525
Fax
(718) 708-5927
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X C009422 NY Primary

Addresses

Primary practice location

6507 18TH Ave
Brooklyn, NY 11204-3703

Mailing address

6507 18TH Ave
Brooklyn, NY 11204-3703
Phone (718) 708-5525

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C009422NYMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
V Optical Inc Optician Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1881017705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043703",
            "telephone_number": "718-708-5525",
            "fax_number": "718-708-5927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 18TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043703",
            "telephone_number": "718-708-5525",
            "fax_number": "718-708-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "VIVIEN",
        "middle_name": "JINGYI",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "C009422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.