Organization Active NPI

James M Chin PLLC

  • Optometrist
  • Dallas, TX
National Provider Identifier
1447872270
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JAMES M CHIN PLLC
Doing business as
THRIVE EYE & OPTICAL
Practice address
8041 Walnut Hill LN # 817
Dallas, TX 75231-4332
Phone
(214) 730-5502
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Dr. James M Chin, ODNPI 1275054694
Title
Owner/Optometrist
Phone
(214) 730-5502

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

8041 Walnut Hill LN # 817
Dallas, TX 75231-4332

Mailing address

8041 Walnut Hill LN Ste 817
Dallas, TX 75231-4332
Phone (214) 730-5502

Other names 1

  • THRIVE EYE & OPTICAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014003157 TX Part B Supplier - Clinic/Group Practice 6800216706 Receives reassigned benefits from 1 practitioner
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory

Locations

8041 Walnut Hill Ln
#817
Dallas, TX 75231
Phone (214) 730-5502

8041 Walnut Hill Ln
Ste 817
Dallas, TX 75231
Phone (214) 730-5502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1447872270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8041 WALNUT HILL LN STE 817",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314332",
            "telephone_number": "214-730-5502",
            "fax_number": "214-730-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8041 WALNUT HILL LN # 817",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314332",
            "telephone_number": "214-730-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M CHIN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "214-730-5502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THRIVE EYE & OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.