Individual provider Active NPI

Tony Y.T. Chen, M.D.

  • Ophthalmology Physician
  • Sebring, FL
National Provider Identifier
1114945300
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0022284 Issued in FL
Practice address
6801 US Highway 27 N
Suite D-1
Sebring, FL 33870-7840
Phone
(863) 385-3535
Fax
(863) 385-0355
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0022284 FL Primary

Addresses

Primary practice location

6801 US Highway 27 N
Suite D-1
Sebring, FL 33870-7840

Mailing address

6801 US Highway 27 N
Suite D-1
Sebring, FL 33870-7840
Phone (863) 385-3535

Other identifiers 2

IdentifierTypeStateIssuer
180043159OtherFLRAILROAD MEDICARE
053973200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071114000272 FL Practitioner - Ophthalmology 2961590609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0022284FLMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1114945300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 US HIGHWAY 27 N",
            "address_2": "SUITE D-1",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707840",
            "telephone_number": "863-385-3535",
            "fax_number": "863-385-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 US HIGHWAY 27 N",
            "address_2": "SUITE D-1",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338707840",
            "telephone_number": "863-385-3535",
            "fax_number": "863-385-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TONY",
        "middle_name": "Y.T.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0022284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180043159",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053973200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

Verify at the official NPI Registry.