Edward C Chen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

Practice address

4171 Dundee Rd
Northbrook, IL 60062-2129

Phone

(847) 564-3937

Fax

(847) 564-3945

NPI assigned

Dec 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Edward Chen

  • Optometrist
  • Northbrook, IL
  • NPI 1871283127
  NPD Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457417826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 MOHAWK LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261035",
            "telephone_number": "847-498-3385",
            "fax_number": "847-564-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 DUNDEE RD",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622129",
            "telephone_number": "847-564-3937",
            "fax_number": "847-564-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "EDWARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aryl Miran Charlton, RBT-18-66808
• Amy Charvat, OTR/L
• Joann Marie Chassman, MS LCPC
• Tammy Chatterton, LCSW
• Jazmine Zhane Chavez I
• Jacqueline Barbara Chen, DPM
• Shuying Chen
• Kelly Lynn Chenault, R.PH.
• Rebecca Cherney, OT
• Annet Chernyhovsky, PSYD

• Optometrist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.