Organization Active NPI

Connie Wang-Chen

  • Optometrist
  • Concord, CA
National Provider Identifier
1285345280
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CONNIE WANG-CHEN
Practice address
2425 East St Ste 4
Concord, CA 94520-1925
Phone
(925) 689-2852
NPI assigned
Dec 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Manmeet Chatha, OD
Title
Manager
Phone
(630) 947-6276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2425 East St Ste 4
Concord, CA 94520-1925

Mailing address

2425 East St Ste 4
Concord, CA 94520-1925
Phone (925) 689-2852

Other names 1

  • Dr. Connie K Wang Doing business as

National Provider Directory

National Provider Directory

Locations

2425 East St
Ste 4
Concord, CA 94520
Phone (925) 689-2852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1285345280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 EAST ST STE 4",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201925",
            "telephone_number": "925-689-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 EAST ST STE 4",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201925",
            "telephone_number": "925-689-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE WANG-CHEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "CHATHA",
        "authorized_official_first_name": "MANMEET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-947-6276",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Connie K Wang",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.