Individual provider Active NPI

Jiaoyang Li

  • Optometrist
  • Long Island City, NY
National Provider Identifier
1922765700
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV009410 Issued in NY
Practice address
2136 44TH Dr
Long Island City, NY 11101-4710
Phone
(718) 673-6808
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV009410 NY Primary

Addresses

Primary practice location

2136 44TH Dr
Long Island City, NY 11101-4710

Mailing address

2136 44TH Dr
Long Island City, NY 11101-4710
Phone (718) 673-6808

Other practice location 1

8325 37th Ave
Jackson Heights, NY 11372-7320
Phone (718) 426-2725

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
I20260617000998 NY Practitioner - Optometry 6103398508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2136 44TH Dr
Long Island City, NY 11101-4710

8325 37TH Ave
Jackson Heights, NY 11372-7394

PO Box
Suite 4
Dumont, NJ 07628

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV009410NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultant, PLLC CurrentSince Dec 5, 2021 Accepting new patients
L Eye C Medical Inc Optometrist CurrentSince May 1, 2026 Accepting new patients
Eyecare by Ophthalmologist, PLLC PastSince Dec 5, 2021 Accepting new patients

Locations

3808 Union St
Ste 4E
Flushing, NY 11354
Phone (718) 321-8222

2136 44th Dr
Long Island City, NY 11101
Phone (718) 268-7709

Organizations & group practices 3

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1922765700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 44TH DR",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014710",
            "telephone_number": "718-673-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 44TH DR",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111014710",
            "telephone_number": "718-673-6808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8325 37th Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727320",
            "country_code": "US",
            "telephone_number": "718-426-2725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LI",
        "first_name": "JIAOYANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

Verify at the official NPI Registry.