Individual provider Active NPI

Kristina Thienthao Chen, O.D.

  • Optometrist
  • Suwanee, GA
National Provider Identifier
1700260270
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002885 Issued in GA
Practice address
1000 Peachtree Industrial Blvd Ste 14
Suwanee, GA 30024-1977
Phone
(770) 271-0611
Fax
(770) 271-5525
NPI assigned
Jul 15, 2015
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002885 GA Primary

Addresses

Primary practice location

1000 Peachtree Industrial Blvd Ste 14
Suwanee, GA 30024-1977

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other practice location 1

875 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043-8479
Phone (770) 963-0370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160125001585 GA Practitioner - Optometry 6608179635 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Apr 1, 2016 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Apr 1, 2016 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Total Vision, LLC Past Accepting new patients
Total Vision Suwanee LLC Optometrist Past Accepting new patients

Locations

2184 Henderson Mill Rd NE
Ste 12B
Atlanta, GA 30345
Phone (770) 491-1255

2549 Piedmont Rd NE
Ste 120
Atlanta, GA 30324
Phone (404) 467-0717

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

6555 Sugarloaf Pkwy
Ste 305
Duluth, GA 30097
Phone (773) 495-0937

875 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043
Phone (770) 963-0370

875 Lawrenceville Suwanee Rd
Ste 560
Lawrenceville, GA 30043
Phone (770) 963-0370

5940 Roswell Rd
Sandy Springs, GA 30328
Phone (404) 467-0717

1000 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (770) 271-0611

1000 Peachtree Industrial Blvd
Ste 14
Suwanee, GA 30024
Phone (770) 271-0611

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1700260270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PEACHTREE INDUSTRIAL BLVD STE 14",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241977",
            "telephone_number": "770-271-0611",
            "fax_number": "770-271-5525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 Lawrenceville Suwanee Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300438479",
            "country_code": "US",
            "telephone_number": "770-963-0370",
            "fax_number": "770-682-3719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KRISTINA",
        "middle_name": "THIENTHAO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

Verify at the official NPI Registry.