Willie Y W Chen MD PC Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

046583 Issued in GA

Legal business name

WILLIE Y W CHEN MD PC INC

Doing business as

Chen Eye Center

Practice address

5825 Buford Hwy
Suite 100
Norcross, GA 30071-2545

Phone

(770) 448-5587

Fax

(770) 448-4086

NPI assigned

Mar 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Willie Y.W Chen, M.DNPI 1144216631

Title

Ceo

Phone

(770) 448-5587

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Chen Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Chen Eye Center Johns Creek

  • Ophthalmology Physician
  • Johns Creek, GA
  • NPI 1083863161

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Willie Y.W. Chen, M.D.

  • Ophthalmology Physician
  • Norcross, GA
  • NPI 1144216631
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1073753976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 BUFORD HWY",
            "address_2": "SUITE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712545",
            "telephone_number": "770-448-5587",
            "fax_number": "770-448-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 BUFORD HWY",
            "address_2": "SUITE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712545",
            "telephone_number": "770-448-5587",
            "fax_number": "770-448-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIE Y W CHEN MD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "Y.W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-448-5587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002370",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001796",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "046583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPT001796",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPT002370",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "046583",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chen Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Shanet Nicole Williams, MBS
• Joanna Williams, RN
• John Tyler Williams
• Najiyyah M Williams, CNA
• Tina V Williams, M.D.
• Wilmer & Associates Group Inc.
• Gia Amani Wilson
• Kaitlin Wilson, CNM, WHNP
• Sydney Autumn Chantel Wilson
• Megan Wiltse

• Ophthalmology Physician in Norcross, GA
• Providers in Norcross, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.