Organization
JING J CAI OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JING J CAI O.D. (OPTOMETRIST)
(917) 627-8397
Entity
Organization
Contact information
Practice address
7305 168TH ST, FRESH MEADOWS, NY 11366-1330
(347) 878-9598
Mailing address
7305 168TH ST, FRESH MEADOWS, NY 11366-1330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007406
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV007406
NY
152WP0200X
Pediatric Optometrist
TUV007406
NY
152WV0400X
Vision Therapy Optometrist
TUV007406
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G100084800
MEDICARE PTAN
NY
01
—
TUV007406
NY STATE LICENSE NUMBER
NY
Enumeration date
02/14/2013
Last updated
03/31/2014
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