Individual provider Active NPI

Wai Y Fung, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1922738475
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009555 Issued in NY
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

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other 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
I20220920002562 NY Practitioner - Optometry 5991180408 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louis S Angioletti MD PCGroup PAC ID 9436408887, 2 clinicians
Jackson Heights Optical IncGroup PAC ID 3678655073, 2 clinicians

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

LicenseStateTypeSpecialty
TUV009555NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jul 1, 2022 Accepting new patients
Jackson Heights Optical Inc Optometrist CurrentSince Sep 1, 2025 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Louis S. Angioletti MD PC CurrentSince Sep 5, 2023 Accepting new patients
Astoria Vision Center Inc Optometrist CurrentSince Sep 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.