Emelline Chen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

6537 Issued in OH

Practice address

36330 Hidden Springs Rd Ste a
Wildomar, CA 92595-5804

Phone

(951) 609-9099

NPI assigned

Jun 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

University of California - School of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Dr Emelline Chen OD Optometric Corp

  • Optometrist
  • Wildomar, CA
  • NPI 1649917931
  Medicare reassignment NPD Authorized official
• America'S Best Contacts & Eyeglasses

  • Optician
  • Cleveland, OH
  • NPI 1063713980
  NPD (past)
• Komm Medical Eye & Vision Group, LTD.

  • Optometrist
  • Bethesda, MD
  • NPI 1164582441
  NPD (past)

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1750810263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36330 HIDDEN SPRINGS RD STE A",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925955804",
            "telephone_number": "951-609-9099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36330 HIDDEN SPRINGS RD STE A",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925955804",
            "telephone_number": "951-609-9099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3061 Westgate",
            "address_purpose": "LOCATION",
            "city": "Fairview Park",
            "state": "OH",
            "postal_code": "441261308",
            "country_code": "US",
            "telephone_number": "216-325-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41238 Margarita Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925915552",
            "country_code": "US",
            "telephone_number": "951-587-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "EMELLINE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babette Angela Chatelle-Bergman, MA
• Ariana Chavez
• Jovanah Chavez
• David Chen
• Ellen Ching Chen, M.D.
• Elvis Chernyshov
• Brayden Cherry
• Emily Chicas
• Kenneth S Chon, M.D.
• Kalie Christiansen

• Optometrist in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.