Individual provider Active NPI

Joyce Chiehan Chen, O.D.

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1821300765
Registry record updated Nov 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13953 Issued in CA
Practice address
661 N Euclid St
Anaheim, CA 92801-4622
Phone
(714) 817-0606
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13953 CA Primary

Addresses

Primary practice location

661 N Euclid St
Anaheim, CA 92801-4622

Mailing address

2872 Muir Trail Dr
Fullerton, CA 92833-5516

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
I20110815000181 CA Practitioner - Optometry 6204005952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michael S. Chang O.D. Inc. Optometrist CurrentSince Jun 29, 2011 Accepting new patients

Locations

661 N Euclid St
Anaheim, CA 92801
Phone (714) 817-0606

17801 Pioneer Blvd
Ste F
Artesia, CA 90701
Phone (562) 239-2240

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320969600000",
    "number": "1821300765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2872 MUIR TRAIL DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928335516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014622",
            "telephone_number": "714-817-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JOYCE",
        "middle_name": "CHIEHAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2011-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.