Justine Chen OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2985 Issued in FL

Legal business name

JUSTINE CHEN OD PA

Practice address

3339 Sheridan St
Hollywood, FL 33021-3606

Phone

(954) 962-6627

Fax

(954) 962-0910

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Justine Nerissa Chen, O.D.NPI 1225202328

Title

President

Phone

(954) 962-6627

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justine Chen, O.D.

  • Optometrist
  • Hollywood, FL
  • NPI 1225202328
  Medicare reassignment NPD Authorized official
• Ryan Hargreaves, O.D.

  • Optometrist
  • Stuart, FL
  • NPI 1467580308
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659458669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213606",
            "telephone_number": "954-962-6627",
            "fax_number": "954-962-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3339 SHERIDAN ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213606",
            "telephone_number": "954-962-6627",
            "fax_number": "954-962-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTINE CHEN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JUSTINE",
        "authorized_official_middle_name": "NERISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-962-6627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McLeane Julien, APRN
• Julio D Pina MD PA
• Aleyah Julmiste, OTR
• Just Be Therapeutic Services
• Reginald Justilien
• Janet Juvier
• Juyara
• Kabot and Kaplowitz Consulting LLC
• Rachel Kabotyansky, M.S., CF-SLP
• Juliana Kaboudi, OD

• Optometrist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.