Susan Chen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11047T Issued in CA

Practice address

2530 Bryan Ave
Suite # D
Tustin, CA 92782-8916

Phone

(714) 838-2020

Fax

(714) 838-2252

NPI assigned

Jan 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

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.

• 20-20 Eyecare Center Optometry Inc

  • Optometrist
  • Tustin, CA
  • NPI 1467677666
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1427101021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 TRADITION PL",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926020704",
            "telephone_number": "714-838-2020",
            "fax_number": "714-838-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 BRYAN AVE",
            "address_2": "SUITE # D",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828916",
            "telephone_number": "714-838-2020",
            "fax_number": "714-838-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SUSAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11047T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0173",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duhli Craig Chen, DDS
• Ginnie I Chen, DDS
• Heidi L. Chen, L.AC
• Michael J Chen, D.D.S.
• Peggy Chen, OMD
• William L Chen, DDS
• XI Chen, M.A.
• Calvin Cheng, DPT
• Cherrycare at-Home, LLC
• Chest and Critical Care Consultants

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.