Individual provider Active NPI

Emily Ngo Chen, O.D.

  • Optometrist
  • Centreville, VA
National Provider Identifier
1760778799
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002048 Issued in VA
Practice address
13830 Lee Hwy Ste 8
Centreville, VA 20120
Phone
(703) 260-9280
Fax
(571) 655-5770
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002048 VA Primary

Addresses

Primary practice location

13830 Lee Hwy Ste 8
Centreville, VA 20120

Mailing address

13830 Lee Hwy Ste 8
Centreville, VA 20120-2417
Phone (703) 260-9280

Other practice location 1

13320 Franklin Farm Rd Ste H
Herndon, VA 20171-4097
Phone (703) 481-5600

Other practice location 2

13320 Franklin Farm Rd Ste H
Herndon, VA 20171-4097
Phone (703) 481-5600

Other practice location 3

13301 Gateway Center Dr
Gainesville, VA 20155-2984
Phone (703) 754-3179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130910000230 DC Practitioner - Optometry 9234377169 Reassigns benefits to 1 organization
I20180426000358 VA Practitioner - Optometry 9234377169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Nova Southeastern Univ College of Dental Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jimmy Chen, OD, Inc.Group PAC ID 9830362425, 3 clinicians

Practice addresses (Care Compare)

13301 Gateway Ctr Dr
Gainesville, VA 20155-2984
Phone (703) 754-3179

13830 Lee Hwy
Suite 8
Centreville, VA 20120-2417
Phone (703) 260-9280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002048VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jimmy Chen, OD, Inc. Optometrist CurrentSince Feb 18, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

13301 Gateway Center Dr
Gainesville, VA 20155
Phone (571) 261-5052

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1760778799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 LEE HWY STE 8",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201202417",
            "telephone_number": "703-260-9280",
            "fax_number": "571-655-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 LEE HWY STE 8",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "20120",
            "telephone_number": "703-260-9280",
            "fax_number": "571-655-5770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13320 Franklin Farm Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201714097",
            "country_code": "US",
            "telephone_number": "703-481-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13320 Franklin Farm Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Herndon",
            "state": "VA",
            "postal_code": "201714097",
            "country_code": "US",
            "telephone_number": "703-481-5600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13301 Gateway Center Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201552984",
            "country_code": "US",
            "telephone_number": "703-754-3179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "EMILY",
        "middle_name": "NGO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.