Jill S. Chen, O.D., Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13957 Issued in CA

Legal business name

JILL S. CHEN, O.D., INC.

Doing business as

Modern Eyes Optometry

Practice address

13349 South St
Cerritos, CA 90703-7308

Phone

(562) 809-2020

NPI assigned

Aug 15, 2014

Last updated

Aug 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jill ChenNPI 1659683340

Title

Ceo

Phone

(562) 522-5917

Specialties & licenses 1

Addresses

Other names 1

• Modern Eyes Optometry Doing business as

Practitioners 2

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.

• Jill Chen, O.D.

  • Optometrist
  • Cerritos, CA
  • NPI 1659683340
  Authorized official Same address or phone
• Jack Son Kim, O.D.

  • Optometrist
  • Buena Park, CA
  • NPI 1679808356
  NPD (past)

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1518366582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13349 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037308",
            "telephone_number": "562-809-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13349 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037308",
            "telephone_number": "562-809-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL S. CHEN, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-522-5917",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Eyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.