Individual provider Active NPI

Jenny Chen

  • Optometrist
  • Aspen Hill, MD
National Provider Identifier
1245010727
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2963 Issued in MD
Practice address
13505 Connecticut Ave
Aspen Hill, MD 20906-2912
Phone
(301) 438-0555
NPI assigned
Oct 3, 2023
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2963 MD Primary

Addresses

Primary practice location

13505 Connecticut Ave
Aspen Hill, MD 20906-2912

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121000514 DC Practitioner - Optometry 9032567656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Maryland LLCGroup PAC ID 6002037629, 121 clinicians

Practice addresses (Care Compare)

18111 Town Ctr Dr
Olney, MD 20832-1479
Phone (301) 570-1600

19814 Century Blvd
Germantown, MD 20874-1198
Phone (301) 540-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2963MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Nov 3, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Rockville Optometry, LLC Optometrist CurrentSince Nov 3, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Nov 3, 2023 Accepting new patients

Locations

80 Market St
Gaithersburg, MD 20878
Phone (301) 990-1122

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

18111 Town Center Dr
Olney, MD 20832
Phone (301) 570-1600

7721 Tuckerman Ln
Potomac, MD 20854
Phone (301) 983-5884

14929 Shady Grove Rd
Unit K
Rockville, MD 20850
Phone (301) 424-1050

1701 Rockville Pike
Ste A4
Rockville, MD 20852
Phone (301) 984-2111

13505 Connecticut Ave
Silver Spring, MD 20906
Phone (301) 438-0555

8529 Georgia Ave
Silver Spring, MD 20910
Phone (301) 588-3232

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1245010727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13505 CONNECTICUT AVE",
            "city": "ASPEN HILL",
            "state": "MD",
            "postal_code": "209062912",
            "telephone_number": "301-438-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen Hill, MD

Sources for this page

Verify at the official NPI Registry.