Stephen Chinn OD a Professional Corperation Dba As Stephen Chinn OD

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

5373TPL Issued in CA

Legal business name

STEPHEN CHINN OD A PROFESSIONAL CORPERATION DBA AS STEPHEN CHINN OD

Practice address

2811 University Ave
Suite C
San Diego, CA 92104-2904

Phone

(619) 280-0664

Fax

(619) 294-8100

NPI assigned

Sep 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Chinn, O.D.NPI 1912976291

Title

Optometrist

Phone

(619) 280-0664

Specialties & licenses 1

Addresses

Other names 1

• STEPHEN CHINN OD Doing business as

Locations

Practitioners 2

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

• Stephen Chinn

  • Optometrist
  • San Diego, CA
  • NPI 1912976291
  NPD (past) Authorized official
• Jennifer Chinn

  • Optometrist
  • San Diego, CA
  • NPI 1073989471
  NPD (past)

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1881901932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 UNIVERSITY AVE",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042904",
            "telephone_number": "619-280-0664",
            "fax_number": "619-294-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 UNIVERSITY AVE",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042904",
            "telephone_number": "619-280-0664",
            "fax_number": "619-294-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN CHINN OD A PROFESSIONAL CORPERATION DBA AS STEPHEN CHINN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "619-280-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "5373TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEPHEN CHINN OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa M Stephany, RN
• Stephen a. Center, MD Inc.
• Stephen a. Luskin Optometric Corporation
• Stephen C. Tuttle, DDS, a Propfessional Corporation
• Stephen Chinn
• Stephen G. Ward, D.D.S. Dental Corporation
• Stephen M. Daquino, DO; Inc
• Stephen Wagers, D.P.M., a.P.C.
• Amy L. Stephen, MSW, LCSW
• Janetta Sue Stephen, LMFT

• Preferred Provider Organization in San Diego, CA
• Providers in San Diego, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.