Active NPI
Simon Chen, O.D.
- Optometrist
- Placentia, CA
National Provider Identifier
1982794525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12755-T
- Practice address
- 1237 E Imperial Hwy
Placentia, CA 92870-1718 - Phone
- (714) 983-7088
- Fax
- (714) 983-7263
- NPI assigned
- Oct 13, 2006
- Last updated
- May 9, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12755-T | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 12755-T | CA | |
| Vision Therapy Optometrist | 152WV0400X | 12755-T | CA |
Addresses
Primary practice location
1237 E Imperial Hwy
Placentia, CA 92870-1718
Mailing address
1237 E Imperial Hwy
Placentia, CA 92870-1718
Phone (714) 983-7088
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12755-T | CA | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chen & Huang Optometry Associates, Inc. | Optometrist | Current | Accepting new patients |
| Paul S. Crismon, O.D. Inc | Current | Accepting new patients |
Locations
13800 San Antonio Dr
Norwalk, CA 90650
Phone (562) 864-6535
1237 E Imperial Hwy
Placentia, CA 92870
Phone (714) 983-7088
Organizations & group practices 2
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.
-
dba EyeCare Vision Optometry
- Optometrist
- Placentia, CA
- NPI 1306218904
-
- Occupational Vision Optometrist
- Norwalk, CA
- NPI 1568666824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1982794525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 E IMPERIAL HWY",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928701718",
"telephone_number": "714-983-7088",
"fax_number": "714-983-7263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 E IMPERIAL HWY",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928701718",
"telephone_number": "714-983-7088",
"fax_number": "714-983-7263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "SIMON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12755-T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "12755-T",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "12755-T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Placentia, CA
- Bridget J Chay
- Brian Checkcinco
- Chen & Huang Optometry Associates, Inc. (EyeCare Vision Optometry)
- Jeffrey Chen, OD
- Min Chen, RD, IBCLC
- Diane Cheng, PHARM D
- Chest and Critical Care Consultants
- Chest and Critical Care Consultants, a Medical Group (Family Health Center of Placentia)
- Chest and Critical Care Consultants, a Medical Group
- Chet Tharpe Medical PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.