Audrey Chen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

13700TLG Issued in CA

Practice address

37029 Cook St Ste 105
Palm Desert, CA 92211-2968

Phone

(760) 342-6900

NPI assigned

Jul 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Desert Eye Associates a Professional CorporationGroup PAC ID 4880969351, 5 clinicians

Clarion Optometry Group Prof CorpGroup PAC ID 0042538464, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Clarion Optometry Group Prof Corp

  • Optometrist
  • Yucca Valley, CA
  • NPI 1639572100
  Medicare reassignment Care Compare group NPD
• Desert Eye Associates a Professional Corporation

  • Ophthalmology Physician
  • Palm Desert, CA
  • NPI 1235654344
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1750546156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37029 COOK ST STE 105",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112968",
            "telephone_number": "760-342-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37029 COOK ST STE 105",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112968",
            "telephone_number": "760-342-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2575 Yorba Linda Blvd",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928311699",
            "country_code": "US",
            "telephone_number": "408-209-9045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56970 Yucca Trl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922847911",
            "country_code": "US",
            "telephone_number": "760-228-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "AUDREY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-24",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002054",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13700TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Chavez
• Lani Renee Lynn Chavez
• Nancy Chavez
• Samantha Marian Chavez
• Ysabel Cheang, PA-C
• Patrick Chen, DPT
• Rachel Chen
• June P Cheng, L.AC.
• Lizbeth Ann Chenik, LMFT
• Sharon Lyn Cherry

• Optometrist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.