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MK VISION CENTER STATEN ISLAND LLC
NPI 1922706779
Optometrist in Staten Island, NY

Active since February 21, 2023
1803 VICTORY BLVD, STATEN ISLAND, NY 10314(845) 495-3658 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 7, 2024, Oct 13, 2023, Feb 21, 2023 (3 updates tracked since 2023).

About Mk Vision Center Staten Island Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MK VISION CENTER STATEN ISLAND LLC (NPI 1922706779) is a healthcare organization registered as an optometrist in Staten Island, New York and active in the NPI registry since February 2023. The organization lists Michael Ma, Owner, as its authorized official.

NPPES Registry Identity

NPI1922706779
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMK VISION CENTER STATEN ISLAND LLC
Location Address1803 VICTORY BLVDStaten Island, NY 10314-3515
Mailing Address1803 Victory BlvdStaten Island, NY 10314-3515 · (845) 495-3658
Phone(845) 495-3658
Organization SubpartNo
Authorized OfficialMichael MaOwner · (646) 203-8979
Enumeration DateFebruary 21, 2023
Last NPPES UpdateMarch 7, 20243 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1922706779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1803 VICTORY BLVD, Staten Island, NY 10314
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mk Vision Center Staten Island Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mk Vision Center Staten Island LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tiffany Chen, OD
Optometry
NPI 1952080517
1803 VICTORY BLVD
Staten Island, NY 10314
(845) 495-3658
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mk Vision Center Staten Island LLC's NPI number?

The NPI number for Mk Vision Center Staten Island LLC is 1922706779. It was assigned to this organization in the NPPES registry on February 21, 2023.

Where is Mk Vision Center Staten Island LLC located?

Mk Vision Center Staten Island LLC is located at 1803 Victory Blvd, Staten Island, NY 10314. The listed phone number is (845) 495-3658.

What is Mk Vision Center Staten Island LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mk Vision Center Staten Island LLC enrolled in Medicare?

Yes. Mk Vision Center Staten Island LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mk Vision Center Staten Island LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Mk Vision Center Staten Island LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mk Vision Center Staten Island LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Oscar Health list Mk Vision Center Staten Island LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mk Vision Center Staten Island LLC was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.