Individual provider Active NPI

CHI Wai Tony Mui, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1891829610
Registry record updated Jan 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
NY TUV006116-1 Issued in NY
Practice address
158 Canal St
New York, NY 10013-4501
Phone
(212) 227-2978
Fax
(212) 227-2971
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NY TUV006116-1 NY Primary

Addresses

Primary practice location

158 Canal St
New York, NY 10013-4501

Mailing address

158 Canal St
New York, NY 10013-4501
Phone (212) 227-2978

Other identifiers 1

IdentifierTypeStateIssuer
20-0253772OtherTAX ID#

Other names 1

  • Dr. CHI Wai Mui Former name

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
I20040331001010 NY Practitioner - Optometry 2163414111 Reassigns benefits to 1 organization
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NY TUV006116-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Canal Street Optical, Inc. Optometrist CurrentSince Nov 8, 2022 Accepting new patients

Locations

158 Canal St
New York, NY 10013
Phone (212) 227-2978

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1891829610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134501",
            "telephone_number": "212-227-2978",
            "fax_number": "212-227-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CANAL ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134501",
            "telephone_number": "212-227-2978",
            "fax_number": "212-227-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUI",
        "first_name": "CHI WAI TONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2023-01-21",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "NY TUV006116-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "20-0253772",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHI WAI",
            "last_name": "MUI",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.