Julie Edith Chen, O.D. a Professional Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT1113T Issued in CA

Legal business name

JULIE EDITH CHEN, O.D. A PROFESSIONAL CORP.

Doing business as

Concourse Optometry

Practice address

2272 Michelson Dr Ste 110
Irvine, CA 92612-1324

Phone

(949) 851-2015

Fax

(888) 851-9029

NPI assigned

Oct 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Julie Edith Chen, ODNPI 1548484538

Title

President

Phone

(949) 545-8431

Specialties & licenses 1

Addresses

Other names 1

• Concourse Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie E Chen, O.D.

  • Optometrist
  • Irvine, CA
  • NPI 1548484538
  Medicare reassignment Care Compare group NPD Authorized official
• Sophia Boyiu Brodsky, OD

  • Optometrist
  • Irvine, CA
  • NPI 1326659830
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577318400000",
    "number": "1821373127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2272 MICHELSON DR STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121324",
            "telephone_number": "949-851-2015",
            "fax_number": "888-851-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 MICHELSON DR STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121324",
            "telephone_number": "949-851-2015",
            "fax_number": "888-851-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE EDITH CHEN, O.D. A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "EDITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-545-8431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT1113T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concourse Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concourse Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Judy Mahoney, PH.D., a Professional Psychology Corporation
• Vivian Jui, D.M.D.
• Lyndsay Jumamil
• Silvia Jun
• Jung Bong Kim,MD,Inc.
• Dongchul Jung
• Ha Eun Jung

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.