Individual provider Active NPI

Siu Shing Wong

  • Optician
  • Flushing, NY
National Provider Identifier
1891201190
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
009562-1 Issued in NY
Practice address
13617 38TH Ave
Flushing, NY 11354-6500
Phone
(646) 667-5496
NPI assigned
Dec 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 009562-1 NY Primary

Addresses

Primary practice location

13617 38TH Ave
Flushing, NY 11354-6500

Mailing address

13617 38TH Ave
Flushing, NY 11354-6500
Phone (646) 667-5496

Other practice location 1

5302 8th Ave
Brooklyn, NY 11220-6849
Phone (718) 854-1888

Other practice location 2

5302 8th Ave
Brooklyn, NY 11220-6849
Phone (718) 854-1888

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
009562-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optical 38 LLC Current Accepting new patients
Hpec LLC Current Accepting new patients
Opsc Inc Current Accepting new patients
Huashi Eyewear Optician Past Accepting new patients
Huashi Eyewear Past Accepting new patients

Locations

13617 38th Ave
Flushing, NY 11354
Phone (718) 886-8055

Organizations & group practices 5

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": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891201190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13617 38TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546500",
            "telephone_number": "646-667-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13617 38TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546500",
            "telephone_number": "646-667-5496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5302 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112206849",
            "country_code": "US",
            "telephone_number": "718-854-1888",
            "fax_number": "718-854-1899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5302 8th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112206849",
            "country_code": "US",
            "telephone_number": "718-854-1888",
            "fax_number": "718-854-1899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "SIU SHING",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "009562-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.