Individual provider Active NPI

Inning Chen, O.D.

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1265688402
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1640 Issued in AZ
Practice address
1940 S Country Club Dr
#102
Mesa, AZ 85210-6042
Phone
(480) 834-6367
NPI assigned
Aug 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1640 AZ Primary

Addresses

Primary practice location

1940 S Country Club Dr
#102
Mesa, AZ 85210-6042

Mailing address

1940 S Country Club Dr
#102
Mesa, AZ 85210-6042
Phone (480) 834-6367

Other identifiers 1

IdentifierTypeStateIssuer
1640OtherAZOPTOMETRY

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
I20160523002681 CA Practitioner - Optometry 5294872248 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4450 Black Ave
Suite C
Pleasanton, CA 94566-6145
Phone (925) 462-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Ophthalmology CurrentSince Apr 1, 2016 Accepting new patients
Total Vision PC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Inning Chen OD Inc. Optometrist CurrentSince May 1, 2021 Accepting new patients

Locations

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

1320 Tara Hills Dr
Ste C
Pinole, CA 94564
Phone (510) 724-8100

1289 Pinole Valley Rd
Pinole, CA 94564
Phone (510) 724-1768

1420 Tara Hills Dr
Ste D
Pinole, CA 94564
Phone (510) 724-1768

4450 Black Ave
Ste C
Pleasanton, CA 94566
Phone (925) 462-2600

6155 Stoneridge Dr
Ste 100
Pleasanton, CA 94588
Phone (925) 463-2150

Organizations & group practices 3

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": "1218067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414627200000",
    "number": "1265688402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S COUNTRY CLUB DR",
            "address_2": "#102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106042",
            "telephone_number": "480-834-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 S COUNTRY CLUB DR",
            "address_2": "#102",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106042",
            "telephone_number": "480-834-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "INNING",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-07",
        "last_updated": "2014-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY",
            "identifier": "1640",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.