Abby Chin, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35668 Issued in CA

Practice address

5050 Laguna Blvd Ste 113
Elk Grove, CA 95758-4151

Phone

(916) 684-7070

NPI assigned

May 30, 2024

Last updated

May 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Third Optometric Care of CaliforniaGroup PAC ID 8325456536, 16 clinicians

Dean Amundsen OD Professional Optometry CorpGroup PAC ID 8527962232, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dean Amundsen,O.D. Professional Optometry Corp.

  • Optometrist
  • Camarillo, CA
  • NPI 1750353637
  Medicare reassignment Care Compare group NPD
• Third Optometric Care of California

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1013516103
  Medicare reassignment Care Compare group NPD
• Third Optometric Care of California PC

  dba Antelope Mall Vision Center Optometry

  • Optometrist
  • Palmdale, CA
  • NPI 1215824768
  NPD
• Third Optometric Care of California PC

  dba Sacramento Optometric Group

  • Optometrist
  • Sacramento, CA
  • NPI 1386222172
  NPD
• Third Optometric Care of California PC

  dba Laguna Creek Optometry

  • Optometrist
  • Elk Grove, CA
  • NPI 1770161655
  NPD (past)

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1902646557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 ALBACORE WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957576268",
            "telephone_number": "916-753-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 LAGUNA BLVD STE 113",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957584151",
            "telephone_number": "916-684-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ABBY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chuenchie Chiang, D.M.D., M.S
• Keara Chikalla
• Aaliyah Champagne Childs
• Autumn Chilies
• Claire Audrey Chin Foo, MD
• Bradley R. Chin, O.D.
• Bruce Darrell Chin, O.D.
• Christopher Allen Chin
• Margaret Meiying Chin, MEDICAL INTERPRETER
• Jessica Frances Chinchiolo, CCC-SLP

• Optometrist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.

Verify at the official NPI Registry.