Individual provider Active NPI

Oliver T. Chen, O.D.

  • Corneal and Contact Management Optometrist
  • Carlsbad, CA
National Provider Identifier
1245332089
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
12395T Issued in CA
Practice address
1905 Calle Barcelona
Ste. 208
Carlsbad, CA 92009-8450
Phone
(760) 930-9696
Fax
(760) 930-0737
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 12395T CA Primary

Addresses

Primary practice location

1905 Calle Barcelona
Ste. 208
Carlsbad, CA 92009-8450

Mailing address

1905 Calle Barcelona
Ste. 208
Carlsbad, CA 92009-8450
Phone (760) 930-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20051207000582 CA Practitioner - Optometry 7517988421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North County Laser Eye Associates, ApcGroup PAC ID 2769624105, 2 clinicians

Practice addresses (Care Compare)

1905 Calle Barcelona
Suite 208
Carlsbad, CA 92009-8452
Phone (760) 930-9646

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12395TCAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North County Laser Eye Associates, Apc Corneal and Contact Management CurrentSince Feb 18, 2013 Accepting new patients
Scripps Health PastSince Feb 18, 2013 Accepting new patients

Locations

1905 Calle Barcelona
Ste 208
Carlsbad, CA 92009
Phone (760) 930-9646

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1245332089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 CALLE BARCELONA",
            "address_2": "STE. 208",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098450",
            "telephone_number": "760-930-9696",
            "fax_number": "760-930-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 CALLE BARCELONA",
            "address_2": "STE. 208",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098450",
            "telephone_number": "760-930-9696",
            "fax_number": "760-930-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "OLIVER",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "12395T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.