Active NPI
Julia Chan, O.D.
- Optometrist
- Glendale, NY
National Provider Identifier
1972856649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV005550-1
- Practice address
- 65-43 Myrtle Ave.
Glendale, NY 11385 - Phone
- (718) 366-7850
- Fax
- (718) 366-7851
- NPI assigned
- Oct 18, 2012
- Last updated
- Oct 18, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV005550-1 | NY | Primary |
Addresses
Primary practice location
65-43 Myrtle Ave.
Glendale, NY 11385
Mailing address
505 E. 79TH St.
Apt #2H
New York, NY 10075-0710
Phone (212) 472-1357
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV005550-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voytek Consulting Corp. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1972856649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 E. 79TH ST.",
"address_2": "APT #2H",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750710",
"telephone_number": "212-472-1357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65-43 MYRTLE AVE.",
"city": "GLENDALE",
"state": "NY",
"postal_code": "11385",
"telephone_number": "718-366-7850",
"fax_number": "718-366-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "JULIA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV005550-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, NY
- Central Drugs Inc
- Central Neighborhood RX Inc
- Central Queens Day Surgical Center, Inc. (Queens Surgi-Center)
- Central Queens Day Surgical Center, Inc. (Queens Surgi-Center)
- Jason Chamikles, D.O.
- Siu Mei Chan, OTR/L
- Johnny Chang, DPT, L.AC.
- Alexis Chernoff, BCBA, LBA
- Jackie Rose Chessen, LMSW
- Child Care Pediatrics, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.