Stephen Chinn

Primary specialty

OptometristTaxonomy code 152W00000X

License

5373 Issued in CA

Practice address

2856 University Ave
San Diego, CA 92104-2930

Phone

(619) 280-0664

Fax

(619) 294-8100

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: stephen.chinn@uprisedirect.com

Practitioners 1

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

• Jennifer Chinn

  • Optometrist
  • San Diego, CA
  • NPI 1073989471
  Medicare reassignment

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.

• Stephen Chinn

  • Optometrist
  • San Diego, CA
  • NPI 1407015803
  NPD (past) Authorized official
• Stephen Chinn OD a Professional Corperation Dba As Stephen Chinn OD

  • Preferred Provider Organization
  • San Diego, CA
  • NPI 1881901932
  NPD (past) Authorized official
• Dr. Blink

  • Optometrist
  • Camp Pendleton North, CA
  • NPI 1841781499
  NPD (past)
• Dr. E M Roberts Practice of Optometry PC

  • Optometrist
  • Camp Pendleton, CA
  • NPI 1649436981
  NPD (past)
• Family Eye Health

  • Optometrist
  • San Marcos, CA
  • NPI 1689819179
  NPD (past)
• Karen Peschke, O.D., a Professional Corporation of Optometry

  • Optometrist
  • San Marcos, CA
  • NPI 1528192465
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1912976291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042930",
            "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": "2856 UNIVERSITY AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042930",
            "telephone_number": "619-280-0664",
            "fax_number": "619-294-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINN",
        "first_name": "STEPHEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0053731",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Bryan Chinn, DO
• Jennifer Chinn
• Katie Cho Chinn, DO
• Patricia Erin Chinn, PHARM.D.
• Raymond Chinn, M.D.
• Jocelyn D. Chintala, CFNP
• Sharmista Chintalapalli, MA
• Kairou Chiou, L.AC.
• Tina C Chiou, O.D.
• Peter Chiraseveenuprapund, M.D., M.S.

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.