Felicia Kang Chen, O.D.
Individual provider Active NPI Optometrist · South Gate, CA
NPI 1386769362 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386769362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 12590T (CA)
- Practice address
- 3329 Tweedy Blvd
South Gate, CA 90280-4324 - Phone
- (323) 566-6183
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041227000536 | CA | Practitioner - Optometry | 8022076819 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12590T | CA | MD | Optometrist |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Ardaya & Lin Optometry Inc | Optometrist | Current |
Accepting new patients |
| Sheldon M. Golden OD Optometric Corporation | Optometrist | Past | Accepting new patients |
| Palos Verdes Family Vision | Optometrist | Past |
Accepting new patients |
Locations
3329 Tweedy Blvd
South Gate, CA 90280
Phone (323) 566-6183
11245 Washington Blvd
Whittier, CA 90606
Phone (562) 692-1208
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12590T | CA | Yes |
Addresses
Primary practice location
3329 Tweedy Blvd
South Gate, CA 90280-4324
Mailing address
285 W. 6TH Street #503
San Pedro, CA 90731
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.