Individual provider Active NPI

Jennifer Mei-Yin Chen, O.D.

  • Optometrist
  • San Gabriel, CA
National Provider Identifier
1649570375
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14056 Issued in CA
Practice address
140 W Valley Blvd Ste 115
San Gabriel, CA 91776-3784
Phone
(626) 288-8023
NPI assigned
Oct 28, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14056 CA Primary

Addresses

Primary practice location

140 W Valley Blvd Ste 115
San Gabriel, CA 91776-3784

Mailing address

1345 S San Gabriel Blvd
San Marino, CA 91108-2703
Phone (626) 376-1271

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20140328000206 CA Practitioner - Optometry 6901037431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

905 W Drummond Ave
Ridgecrest, CA 93555-3046
Phone (760) 375-9709

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14056CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Optometry Center, Inc. Optometrist CurrentSince Oct 28, 2013 Accepting new patients
Total Vision PC Optometrist PastSince Nov 1, 2021 Accepting new patients
Golden San Gabriel Optometric Vision Center Optometrist PastSince Oct 1, 2001 Accepting new patients
Dr. Joseph Mallory'S Office Optometrist PastSince Nov 1, 2013 Accepting new patients

Locations

905 W Drummond Ave
Ridgecrest, CA 93555
Phone (760) 375-9709

Interoperability endpoints

  • Direct secure messaging: direct@focusoptometrycenterincridgecrestca.compulinkdirect.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1649570375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 S SAN GABRIEL BLVD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911082703",
            "telephone_number": "626-376-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD STE 115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763784",
            "telephone_number": "626-288-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JENNIFER",
        "middle_name": "MEI-YIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-28",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.