Active NPI
Wai Y Fung, OD
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV009555
- Practice address
- 33 W 42ND St
New York, NY 10036-8005 - Phone
- (212) 938-5946
- NPI assigned
- Jun 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | TUV009555 | NY | Primary |
Addresses
Primary practice location
33 W 42ND St
New York, NY 10036-8005
Mailing address
2717 42ND Rd Apt 10H
Long Island City, NY 11101-4962
Phone (619) 436-7310
Other names 1
- Tiffany Fung
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
55 5TH Ave
Suite 1801
New York, NY 10003-4301
Phone (212) 691-4200
8325 37TH Ave
Jackson Heights, NY 11372-7320
Phone (718) 426-2725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV009555 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of New York Comptrollers Office | Current | Accepting new patients | |
| Jackson Heights Optical Inc | Optometrist | Current | Accepting new patients |
| State of New York Comptrollers Office | Optometrist | Current | Accepting new patients |
| Louis S. Angioletti MD PC | Current | Accepting new patients | |
| Astoria Vision Center Inc | Optometrist | Current | Accepting new patients |
Locations
3620 Broadway
Astoria, NY 11106
Phone (718) 204-2007
8325 37th Ave
Jackson Hts, NY 11372
Phone (718) 246-2725
33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930
55 5th Ave
Ste 1801
New York, NY 10003
Phone (201) 461-3970
33 W 42nd St
New York, NY 10036
Phone (212) 780-4930
University Eye Ctr
New York, NY 10087
Interoperability endpoints
- wai.fungod.p1@direct.opt.nextgenshare.com
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.
-
- Optometrist
- Jackson Heights, NY
- NPI 1881806917
-
- Retina Specialist (Ophthalmology) Physician
- New York, NY
- NPI 1194213231
-
- Optometrist
- Astoria, NY
- NPI 1356544266
-
- Optometrist
- New York, NY
- NPI 1407829856
-
- Developmental Disabilities Clinic/Center
- Staten Island, NY
- NPI 1750469912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1922738475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 42ND RD APT 10H",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111014962",
"telephone_number": "619-436-7310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 42ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100368005",
"telephone_number": "212-938-5946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNG",
"first_name": "WAI",
"middle_name": "Y",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV009555",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIFFANY",
"last_name": "FUNG",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.