Individual provider Active NPI

Ying-Chou Chen, O.D.

  • Optometrist
  • Gainesville, VA
National Provider Identifier
1447483490
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001877 Issued in VA
Practice address
13301 Gateway Center Dr
Gainesville, VA 20155-2984
Phone
(703) 754-3179
Fax
(571) 261-5017
NPI assigned
Aug 25, 2009
Last updated
Sep 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001877 VA Primary
Optometrist 152W00000X OPC 4431 FL

Addresses

Primary practice location

13301 Gateway Center Dr
Gainesville, VA 20155-2984

Mailing address

13301 Gateway Center Dr
Gainesville, VA 20155-2984
Phone (305) 898-7124

Other names 1

  • Dr. Jimmy Chen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091019000622 VA Practitioner - Optometry 8820135148 Reassigns benefits to 1 organization
I20200720001272 DC Practitioner - Optometry 8820135148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jimmy Chen, OD, Inc.Group PAC ID 9830362425, 3 clinicians

Practice addresses (Care Compare)

13301 Gateway Ctr Dr
Gainesville, VA 20155-2984
Phone (703) 754-3179

13830 Lee Hwy
Suite 8
Centreville, VA 20120-2417
Phone (703) 260-9280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4431FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jimmy Chen, OD, Inc. Optometrist CurrentSince Aug 30, 2011 Accepting new patients

Locations

13301 Gateway Center Dr
Gainesville, VA 20155
Phone (571) 261-5052

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1447483490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13301 GATEWAY CENTER DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552984",
            "telephone_number": "305-898-7124",
            "fax_number": "571-261-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13301 GATEWAY CENTER DR",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201552984",
            "telephone_number": "703-754-3179",
            "fax_number": "571-261-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YING-CHOU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-25",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001877",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIMMY",
            "last_name": "CHEN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.