Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy Ip, OD

Individual provider Optometrist · NPI 1366674103

Dr. Timothy Ip, OD is an Optometry in Fresh Meadows, New York. Qualified in 2009, 17 years ago. Practices with Raymond Fong MD, PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

6539 175th St
Fresh Meadows, NY 11365-2137
Phone: (917) 769-9025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV007418-1 (NY)

Record details

NPI number1366674103
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedAugust 12, 2009
Last updated in NPPESAugust 12, 2009
Mailing address6539 175th St, Fresh Meadows, NY 11365-2137

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Raymond Fong Md, Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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