Allen Chin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV 003892 Issued in NY

Practice address

15811 Harry Van Arsdale Jr Ave
Optical Dept Joint Industry Board
Flushing, NY 11365

Phone

(718) 591-2014

Fax

(718) 591-9528

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154446987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 80TH ST",
            "address_2": "FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112141609",
            "telephone_number": "718-259-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15811 HARRY VAN ARSDALE JR AVE",
            "address_2": "OPTICAL DEPT JOINT INDUSTRY BOARD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11365",
            "telephone_number": "718-591-2014",
            "fax_number": "718-591-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV 003892",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "000892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child Center of New York
• Children'S Corner Daycare
• Childrens Playworks Inc
• Chim Herb & Company
• Jessica Mon Chin-Tan, D.O.
• Cristina Louise Chin
• Ginny Chin
• Ilene Chin
• Shiau Hui Chin, M.D.
• Valerie Chin, D.D.S

• Optometrist in Flushing, NY
• Providers in Flushing, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.