Individual provider Active NPI

Yaushi B Chen, OD

  • Optometrist
  • Milpitas, CA
National Provider Identifier
1770648784
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13453 Issued in CA
Practice address
61 Serra Way
#128
Milpitas, CA 95035-8519
Phone
(408) 262-8998
Fax
(408) 262-8249
NPI assigned
Dec 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13453 CA Primary
Optometrist 152W00000X 3034-035 WI

Addresses

Primary practice location

61 Serra Way
#128
Milpitas, CA 95035-8519

Mailing address

61 Serra Way
#128
Milpitas, CA 95035-8519
Phone (408) 262-8998

Other practice location 1

43621 Pacific Commons Blvd
Fremont, CA 94538-3809
Phone (510) 770-0400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080326000890 CA Practitioner - Optometry 9234148891 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3034-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyevue Optometry, Inc. Optometrist CurrentSince Aug 15, 2014 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Stein Optical Inc. Optometrist Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

61 Serra Way
Ste 128
Milpitas, CA 95035
Phone (408) 262-8998

Organizations & group practices 4

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": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1770648784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 SERRA WAY",
            "address_2": "#128",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358519",
            "telephone_number": "408-262-8998",
            "fax_number": "408-262-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 SERRA WAY",
            "address_2": "#128",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950358519",
            "telephone_number": "408-262-8998",
            "fax_number": "408-262-8249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43621 Pacific Commons Blvd",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945383809",
            "country_code": "US",
            "telephone_number": "510-770-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YAUSHI",
        "middle_name": "B",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13453",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3034-035",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.