Ruth J Chen, O.D.
Individual provider Active NPI Optometrist · Albany, CA
NPI 1194862250 · NPPES record last updated Nov 24, 2021
Key facts
- NPI
- 1194862250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 11114TPG (CA)
- Practice address
- 1051 Solano Ave
Albany, CA 94706 - Phone
- (510) 526-3937
- Fax
- (510) 526-6133
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ruth J Chen OD Inc
Practice addresses (Care Compare)
1051 Solano Ave
Albany, CA 94706-1650
Phone (510) 526-3937
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111017000264 | CA | Practitioner - Optometry | 0749183655 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11114TPG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruth J Chen OD Inc | Optometrist | Current |
Accepting new patients |
| Solano Eyecare Optometric Professionals | Optometrist | Current |
Accepting new patients |
Locations
1051 Solano Ave
Albany, CA 94706
Phone (510) 526-3937
1621 Solano Ave
Berkeley, CA 94707
Phone (510) 526-3937
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11114TPG | CA | Yes |
Addresses
Primary practice location
1051 Solano Ave
Albany, CA 94706
Mailing address
1051 Solano Ave
Albany, CA 94706
Phone (510) 526-3937
Other names
- Dr. Ruth Chen Fruin
Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.