Individual provider Active NPI

Jennifer Chu, OD

  • Optometrist
  • Flushing, NY
National Provider Identifier
1982290342
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009297 Issued in NY
Practice address
15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085
Phone
(718) 591-2000
NPI assigned
Dec 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009297 NY Primary

Addresses

Primary practice location

15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085

Mailing address

15811 Harry Van Arsdale Jr Ave
Flushing, NY 11365-3085

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
I20210412000940 NY Practitioner - Optometry 1456769439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Vision Ophthalmology PLLCGroup PAC ID 0345568895, 2 clinicians

Practice addresses (Care Compare)

7910 34TH Ave
Suite 1Y
Jackson Heights, NY 11372-2420
Phone (718) 429-2470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009297NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Ophthalmology PLLC CurrentSince Feb 12, 2025 Accepting new patients
We Care for Eyes Inc PastSince Dec 1, 2020 Accepting new patients

Locations

7910 34th Ave
Ste 1Y
Jackson Hts, NY 11372
Phone (718) 429-2470

Organizations & group practices 2

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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1982290342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 HARRY VAN ARSDALE JR AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113653085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 HARRY VAN ARSDALE JR AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113653085",
            "telephone_number": "718-591-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "JENNIFER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.