Individual provider Active NPI

Waiyen Chin, O.D.

  • Optometrist
  • Danville, VA
National Provider Identifier
1285634386
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001223 Issued in VA
Practice address
625 Piney Forest Rd
Suit 208
Danville, VA 24540-2867
Phone
(434) 797-2606
Fax
(434) 797-2606
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001223 VA Primary

Addresses

Primary practice location

625 Piney Forest Rd
Suit 208
Danville, VA 24540-2867

Mailing address

625 Piney Forest Rd
Suit 208
Danville, VA 24540-2867
Phone (434) 797-2606

Other identifiers 2

IdentifierTypeStateIssuer
1104939016OtherVAMEDICARE NPI
010148529MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050322000253 VA Practitioner - Optometry 5890740302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

513 Piney Forest Rd
Danville, VA 24540-3353
Phone (434) 797-2606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001223VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Vision, P.C. Optometrist CurrentSince Feb 2, 2005 Accepting new patients
Forchin Eyecare, P.C. Optometrist PastSince Jul 1, 2002 Accepting new patients
Private Diagnostic Clinic, PLLC Optometrist PastSince Feb 2, 2005 Accepting new patients

Locations

513 Piney Forest Rd
Danville, VA 24540
Phone (434) 793-0900

625 Piney Forest Rd
Ste 208
Danville, VA 24540
Phone (434) 797-2606

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1285634386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD",
            "address_2": "SUIT 208",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402867",
            "telephone_number": "434-797-2606",
            "fax_number": "434-797-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD",
            "address_2": "SUIT 208",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402867",
            "telephone_number": "434-797-2606",
            "fax_number": "434-797-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "WAIYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1104939016",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010148529",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.