Ken Chen

Primary specialty

OptometristTaxonomy code 152W00000X

License

15357TLG Issued in CA

Practice address

2202 S Shore Ctr Ste F
Alameda, CA 94501-5788

Phone

(510) 521-9801

NPI assigned

Sep 2, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ken Chen Optometry Inc

  • Clinic/Center
  • Alameda, CA
  • NPI 1831945302
  NPD Authorized official
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)
• Wilmington Eye Group, Inc.

  • Optometrist
  • Wilmington, MA
  • NPI 1003226879
  NPD (past)

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1346640976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 COVE RD",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945027417",
            "telephone_number": "732-470-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 S SHORE CTR STE F",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945015788",
            "telephone_number": "510-521-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2024-04-25",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5046",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15357TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Sapphire Chavez
• Magaly Chavez
• Marcia Chavez
• Alan Chee, DDS
• Joseph Min Chen, MD
• Ruijing Chen
• Yihan Chen
• Alice Cheng
• Anna Cheng, RPH, PHARMD
• Destiny Cheng

• Optometrist in Alameda, CA
• Providers in Alameda, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.