Active NPI
Andrew D Chen, OD
- Optometrist
- Miami, FL
National Provider Identifier
1780756742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC3220
- Practice address
- 12091 SW 152ND St
Miami, FL 33177-1607 - Phone
- (305) 232-3937
- Fax
- (305) 232-3936
- NPI assigned
- Nov 14, 2006
- Last updated
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC3220 | FL | Primary |
Addresses
Primary practice location
12091 SW 152ND St
Miami, FL 33177-1607
Mailing address
12091 SW 152ND St
Miami, FL 33177-1607
Phone (305) 232-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC3220 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12091 SW 152 St
Miami, FL 33177-1607
Phone (305) 232-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC3220 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye N Eye Inc | Optometrist | Current | Accepting new patients |
Locations
12091 SW 152nd St
Miami, FL 33177
Phone (305) 232-3937
Organizations & group practices 1
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": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1780756742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12091 SW 152ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331771607",
"telephone_number": "305-232-3937",
"fax_number": "305-232-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12091 SW 152ND ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331771607",
"telephone_number": "305-232-3937",
"fax_number": "305-232-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ANDREW",
"middle_name": "D",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3220",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "OPC3220",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.