Gregory W Chin O D P a

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3437 Issued in FL

Legal business name

GREGORY W CHIN O D P A

Practice address

11455 SW 40TH St
Miami, FL 33165-3311

Phone

(305) 551-6200

Fax

(305) 551-3696

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Wayne Chin, O.D.NPI 1588708812

Title

Optometrist/President

Phone

(305) 551-6200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Gregory Wayne Chin, O.D.

  • Optometrist
  • Miami, FL
  • NPI 1588708812
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1124200894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11455 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653311",
            "telephone_number": "305-551-6200",
            "fax_number": "305-551-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11455 SW 40TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331653311",
            "telephone_number": "305-551-6200",
            "fax_number": "305-551-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY W CHIN O D P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "305-551-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3437",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620687500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ninel Z Gregori, MD
• Gregoria Medical Center Corp
• Gabriela Gregorian, M.D.
• Michael Gregorian, M.D.
• Gregory M Bell MD PLLC
• Diann Shirley Gregory, ARNP, CNM
• Kym Yoland Gregory, PHARM.D.
• Liza Michelle Gregory, RPH
• Melanie Mari Gregory
• Simone Gregory

• Optometrist in Miami, FL
• Providers in Miami, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.