Active NPI
Anny Pi-Ning Chen, O.D.
- Optometrist
- San Jose, CA
National Provider Identifier
1578875043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15155
- Practice address
- 173 N Morrison Ave Ste E
San Jose, CA 95126-2712 - Phone
- (408) 372-7647
- NPI assigned
- Jul 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 007574 | NY | |
| Optometrist | 152W00000X | 15155 | CA | Primary |
Addresses
Primary practice location
173 N Morrison Ave Ste E
San Jose, CA 95126-2712
Mailing address
173 N Morrison Ave Ste E
San Jose, CA 95126-2712
Phone (408) 372-7647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03261685 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15155 | CA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1578875043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 N MORRISON AVE STE E",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262712",
"telephone_number": "408-372-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 N MORRISON AVE STE E",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262712",
"telephone_number": "408-372-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ANNY",
"middle_name": "PI-NING",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-13",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "007574",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15155",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03261685",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.