Active NPI
Jonathan Chen, OD
- Optometrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003194
- Practice address
- 5380 Roswell Rd
Atlanta, GA 30342-1916 - Phone
- (404) 250-1680
- NPI assigned
- Jun 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9821 | TX | |
| Optometrist | 152W00000X | OPT003194 | GA | Primary |
Addresses
Primary practice location
5380 Roswell Rd
Atlanta, GA 30342-1916
Mailing address
5380 Roswell Rd
Atlanta, GA 30342-1916
Phone (404) 250-1680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TX, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5380 Roswell Rd
Atlanta, GA 30342-1916
Phone (404) 250-1680
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9821 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Curators of the University of Missouri | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Lawrenceville Eyecare LLC | Optometrist | Current | Accepting new patients |
| Med Southwest, PLLC | Optometrist | Current | Accepting new patients |
| Lakhani Vision Care, PC | Optometrist | Past | Accepting new patients |
| Tonge Vision Group, P.C. | Optometrist | Past | Accepting new patients |
Locations
170 Camden Hill Rd
Ste B
Lawrenceville, GA 30046
Phone (406) 369-2020
7840 Natural Bridge Rd
Saint Louis, MO 63121
Phone (314) 382-6400
1 University Blvd
Saint Louis, MO 63121
Phone (314) 516-5131
6446 Lyndon B Johnson Fwy
Dallas, TX 75240
Phone (972) 960-2020
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Organizations & group practices 10
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.
-
- Sports Vision Optometrist
- Atlanta, GA
- NPI 1992823066
-
- Optometrist
- Saint Louis, MO
- NPI 1679664718
-
- Optometrist
- Houston, TX
- NPI 1609348739
-
- Optometrist
- Adairsville, GA
- NPI 1538823315
-
- Optometrist
- Lawrenceville, GA
- NPI 1578381604
-
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1740083641
-
- Optometrist
- Dallas, TX
- NPI 1053956185
-
- Optometrist
- Oklahoma City, OK
- NPI 1679440762
-
- Optometrist
- Marietta, GA
- NPI 1295322436
-
- Optometrist
- Lawrenceville, GA
- NPI 1184792244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1154813525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5380 ROSWELL RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421916",
"telephone_number": "404-250-1680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 ROSWELL RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421916",
"telephone_number": "404-250-1680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-01",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9821",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.