NPIMap

Organization Active NPI

Scott Nelson Chin PC

  • Optometrist
  • Woodhaven, MI
National Provider Identifier
1437300118
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004169 Issued in MI
Legal business name
SCOTT NELSON CHIN PC
Practice address
23800 Allen Rd
Woodhaven, MI 48183-3374
Phone
(734) 675-4820
Fax
(734) 675-4878
NPI assigned
Oct 1, 2008
Last updated
Oct 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Scott Chin, ODNPI 1063466571
Title
President
Phone
(312) 804-2446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004169 MI Primary

Addresses

Primary practice location

23800 Allen Rd
Woodhaven, MI 48183-3374

Mailing address

23800 Allen Rd
Woodhaven, MI 48183-3374
Phone (734) 675-4820

National Provider Directory

National Provider Directory

Locations

23800 Allen Rd
Woodhaven, MI 48183
Phone (734) 675-4815

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1437300118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23800 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833374",
            "telephone_number": "734-675-4820",
            "fax_number": "734-675-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23800 ALLEN RD",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481833374",
            "telephone_number": "734-675-4820",
            "fax_number": "734-675-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT NELSON CHIN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-804-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.