| Dr Elzie C Chan-englender, OD | |
|
107-20 71st Continental Avenue, Forest Hills, NY 11375-0000 | |
| (718) 544-2200 | |
| (718) 544-2102 |
| Full Name | Dr Elzie C Chan-englender |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 107-20 71st Continental Avenue, Forest Hills, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508860065 | NPI | - | NPPES |
| 02396463 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TPOP17 (Florida) | Secondary |
| 152W00000X | Optometrist | 21313-875 (Wisconsin) | Secondary |
| 152W00000X | Optometrist | T006563-1 (New York) | Primary |
| Provider Name | Elzie Chan-englender Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1700181112 PECOS PAC ID: 9234318163 Enrollment ID: O20110125000595 |
| Provider Name | North Shore - Lij Medical Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Provider Name | J&e Optical Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770038416 PECOS PAC ID: 9335497767 Enrollment ID: O20180801002709 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elzie C Chan-englender, OD 107-20 71st Continental Avenue, Forest Hills, NY 11375-0000 Ph: (718) 544-2200 | Dr Elzie C Chan-englender, OD 107-20 71st Continental Avenue, Forest Hills, NY 11375-0000 Ph: (718) 544-2200 |
Svetlana Katanov, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10423 Oueens Blvd, Forest Hills, NY 11375 Phone: 718-275-2500 | |
Eye Q Optical Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 10423 Queens Blvd, Forest Hills, NY 11375 Phone: 718-275-2500 Fax: 718-275-9654 | |
Dr. Boris Michael Kapelnik, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6373 108th St, Forest Hills, NY 11375 Phone: 718-896-2020 | |
Dr. Bradley W. Kaplan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6939 Austin St, Forest Hills, NY 11375 Phone: 718-261-6000 | |
The Gardens Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 12 Station Sq, Forest Hills, NY 11375 Phone: 917-803-0002 | |
Pure Vision Optical Llc Optometrist Medicare: Medicare Enrolled Practice Location: 10023 Queens Blvd, Forest Hills, NY 11375 Phone: 917-670-5116 | |
Inessa Yagudayev Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11156 76th Dr Uppr Lobby2, Forest Hills, NY 11375 Phone: 347-605-1828 Fax: 718-832-5326 |