Active NPI
Kevin Dou
- Optometrist
- Brooklyn, NY
National Provider Identifier
1982309522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV009700-01
- Practice address
- 208 Flatbush Ave
Brooklyn, NY 11217-2116 - Phone
- (718) 514-6234
- NPI assigned
- Apr 3, 2023
- Sex
- Male
- 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 | TUV009700-01 | NY | Primary |
Addresses
Primary practice location
208 Flatbush Ave
Brooklyn, NY 11217-2116
Mailing address
139 E 33Rd St Apt 7N
New York, NY 10016-5318
Phone (978) 609-6527
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
139 E 33Rd St
Apt 7N
New York, NY 10016-5318
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV009700-01 | NY | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1982309522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 E 33RD ST APT 7N",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165318",
"telephone_number": "978-609-6527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 FLATBUSH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112172116",
"telephone_number": "718-514-6234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOU",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV009700-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.