Individual provider Active NPI

David Arthur Chiang, O.D.

  • Optometrist
  • Albany, NY
National Provider Identifier
1992149561
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005938 Issued in NY
Practice address
12 Corporate Woods Blvd
Lasikplus
Albany, NY 12211-2524
Phone
(518) 426-1189
Fax
(518) 426-2358
NPI assigned
Apr 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005938 NY Primary
Optometrist 152W00000X 423 MA

Addresses

Primary practice location

12 Corporate Woods Blvd
Lasikplus
Albany, NY 12211-2524

Mailing address

12 Corporate Woods Blvd
Albany, NY 12211-2524
Phone (518) 426-1189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180731002240 MA Practitioner - Optometry 2062708381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass Optometric Associates, PLLCGroup PAC ID 0648362442, 50 clinicians

Practice addresses (Care Compare)

1201 Broadway
SPC S223
Saugus, MA 01906-4395
Phone (781) 233-2078

700 Boston Rd
Billerica, MA 01821-5316
Phone (978) 667-0481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005938NYMDRegistered Dietitian
423MAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Vision Eye Center,Inc CurrentSince Jul 3, 2018 Accepting new patients
Lasik Plus of New York Professional Corp Past Accepting new patients

Locations

3 Woodland Rd
Ste 120
Stoneham, MA 02180
Phone (781) 979-0960

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": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1992149561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CORPORATE WOODS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112524",
            "telephone_number": "518-426-1189",
            "fax_number": "518-426-2358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CORPORATE WOODS BLVD",
            "address_2": "LASIKPLUS",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112524",
            "telephone_number": "518-426-1189",
            "fax_number": "518-426-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "DAVID",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005938",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "423",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.