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

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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