Irene Chen OD Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

3115 Issued in WA

Legal business name

IRENE CHEN OD CORP

Practice address

18021 15TH Ave NE Ste 100
Shoreline, WA 98155-3806

Phone

(206) 367-8883

NPI assigned

Feb 21, 2008

Organization subpart

No

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

Authorized official

Name

Irene Chen, OD

Title

President

Phone

(260) 351-8610

Specialties & licenses 1

Addresses

Practitioners 1

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

• Erika Tydor, O.D.

  • Optometrist
  • Shoreline, WA
  • NPI 1407119001
  NPD

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1689843880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55247",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981550247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18021 15TH AVE NE STE 100",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553806",
            "telephone_number": "206-367-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRENE CHEN OD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-351-8610",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• International Community Health Services
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• Iora Health Washington Physicians, P.C. (One Medical)
• Iora Senior Health, LLC (One Medical)
• Estanislao Mahan Iraola Jr.
• Maya Pilar Isaguirre, APRN
• Susanne M Isakson
• Joyce S Izumi, OTRL
• Matthew Brian Jaffy
• Rhiannon Jahns

• Optometrist in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.