Active NPI
Stephen Chinn
- Optometrist
- San Diego, CA
National Provider Identifier
1407015803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5373
- Legal business name
- STEPHEN CHINN
- Practice address
- 45233 Antares Dr BLDG 2660
San Diego, CA 92145-4426 - Phone
- (858) 695-7276
- Fax
- (858) 695-7378
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Chinn
- Title
- Owner
- Phone
- (858) 695-7276
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5373 | CA | Primary |
Addresses
Primary practice location
45233 Antares Dr BLDG 2660
San Diego, CA 92145-4426
Mailing address
45233 Antares Dr BLDG 2660
P.O.Box 452134
San Diego, CA 92145-4426
Phone (858) 695-7276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0053731 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
45233 Antares Dr
Bldg 2660
San Diego, CA 92145
Phone (858) 695-7276
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- San Diego, CA
- NPI 1912976291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1275004800000",
"number": "1407015803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45233 ANTARES DR BLDG 2660",
"address_2": "P.O.BOX 452134",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921454426",
"telephone_number": "858-695-7276",
"fax_number": "858-695-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45233 ANTARES DR BLDG 2660",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921454426",
"telephone_number": "858-695-7276",
"fax_number": "858-695-7378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN CHINN",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2010-05-28",
"status": "A",
"authorized_official_last_name": "CHINN",
"authorized_official_first_name": "STEPHEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-695-7276"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "5373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0053731",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Nora L. Stephany, PA
- Theresa M Stephany, RN
- Stephen a. Center, MD Inc.
- Stephen a. Luskin Optometric Corporation
- Stephen C. Tuttle, DDS, a Propfessional Corporation
- Stephen Chinn OD a Professional Corperation Dba As Stephen Chinn OD
- Stephen G. Ward, D.D.S. Dental Corporation
- Stephen M. Daquino, DO; Inc
- Stephen Wagers, D.P.M., a.P.C.
- Amy L. Stephen, MSW, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.