Individual provider Active NPI

Felicia Lily Tran Chen, O.D.

  • Optometrist
  • Burke, VA
National Provider Identifier
1063829935
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002359 Issued in VA
Practice address
9580 Old Keene Mill Rd
Burke, VA 22015-4208
Phone
(703) 337-4830
NPI assigned
Jul 12, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002359 VA Primary

Addresses

Primary practice location

9580 Old Keene Mill Rd
Burke, VA 22015-4208

Mailing address

9580 Old Keene Mill Rd
Burke, VA 22015-4208
Phone (703) 337-4830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170321000672 DC Practitioner - Optometry 2264717917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare About Eyes PLLCGroup PAC ID 9133404858, 3 clinicians

Practice addresses (Care Compare)

9580 Old Keene Mill Rd
Burke, VA 22015-4208
Phone (703) 337-4830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare About Eyes, PLLC Optometrist CurrentSince Mar 15, 2017 Accepting new patients

Locations

9580 Old Keene Mill Rd
Burke, VA 22015
Phone (703) 337-4830

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508889600000",
    "number": "1063829935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9580 OLD KEENE MILL RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154208",
            "telephone_number": "703-337-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 OLD KEENE MILL RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154208",
            "telephone_number": "703-337-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "FELICIA",
        "middle_name": "LILY TRAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-12",
        "last_updated": "2017-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.