Stephanie Yachen Chen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6065 Issued in TX

Practice address

4122 L B J Fwy Ste 120
Farmers Branch, TX 75244-5703

Phone

(972) 392-0884

Fax

(972) 392-0884

NPI assigned

Aug 19, 2006

Last updated

Nov 4, 2019By 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 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

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

State licenses

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.

• Eagle Eye Associates, P.a

  • Corneal and Contact Management Optometrist
  • Farmers Branch, TX
  • NPI 1962626259
  Medicare reassignment NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1922112507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 CHANDLER DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244807",
            "telephone_number": "469-688-0399",
            "fax_number": "972-392-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 L B J FWY STE 120",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752445703",
            "telephone_number": "972-392-0884",
            "fax_number": "972-392-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "STEPHANIE YACHEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6065",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6065T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "8F4937",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3795528",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@eagleeyepa.com",
            "affiliation": "N",
            "address_1": "4122 L B J Fwy Ste 120",
            "city": "Farmers Branch",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752445703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anita Cepeda, LPC
• Sara Kay Chadwick
• Champion Dental
• Deanna Chandler
• Sara Chapman
• Brandon Childress
• Jaelynn S Choi
• Russell Takashi Choy
• Miguel A. Cintron, MD
• City of Farmers Branch

• Optometrist in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.