Jay E Chretien, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002316 Issued in GA

Practice address

870 Inman Village Pkwy NE Ste 3
Atlanta, GA 30307-5543

Phone

(404) 589-0822

Fax

(404) 589-4766

NPI assigned

Feb 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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.

• Comprehensive Eyecare LLC

  • Optometrist
  • Pooler, GA
  • NPI 1932778206
  Medicare reassignment NPD
• MC DO Optometry LLC

  • Optometrist
  • Dallas, GA
  • NPI 1255984423
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1457323552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 INMAN VILLAGE PKWY NE STE 3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303075543",
            "telephone_number": "404-589-0822",
            "fax_number": "404-589-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 INMAN VILLAGE PKWY NE STE 3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303075543",
            "telephone_number": "404-589-0822",
            "fax_number": "404-589-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRETIEN",
        "first_name": "JAY",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "956",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ananda M. Chowdhury
• Rayhanur R Chowdhury, D.O.
• Zahidul Islam Chowdhury, M.D.
• Farhan Chowdry
• Sun Kyung Choy, D.D.S.
• Chris 180, Inc.
• Chris 180, Inc.
• Chris 180, Inc.
• Chris 180, Inc.
• Chris 180, Inc.

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.