Active NPI
Vincent Wai Chen, O.D.
- Optometrist
- Rowland Heights, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 125555T
- Practice address
- 1015 Nogales St
#109
Rowland Heights, CA 91748-1360 - Phone
- (626) 965-8698
- Fax
- (626) 965-8697
- NPI assigned
- Mar 16, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 125555T | CA | Primary |
Addresses
Primary practice location
1015 Nogales St
#109
Rowland Heights, CA 91748-1360
Mailing address
1015 Nogales St
#109
Rowland Heights, CA 91748-1360
Phone (626) 965-8698
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB236832 | Other | CA | MEDICARE PTAN |
| SD012550 | Medicaid | CA |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050518000737 | CA | Practitioner - Optometry | 3870540107 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Total Vision PC
Practice addresses (Care Compare)
12461 W Washington Blvd
Los Angeles, CA 90066-5511
Phone (310) 390-6287
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12555 | CA | MD | Marriage & Family Therapist |
| 125555T | CA | MD | Optometrist |
Practice roles (4 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vision PC | Optometrist | Current | Accepting new patients |
| Marina Eyecare Center | Optometrist | Past | Accepting new patients |
| Seal Beach Eyes Optometry Inc | Optometrist | Past | Accepting new patients |
| Steven T Klein OD & Kimberly Plattner OD a Professional Corporation | Optometrist | Past | Accepting new patients |
Locations
15435 Jeffrey Rd
Ste 138
Irvine, CA 92618
Phone (949) 552-5535
12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287
27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691
1015 Nogales St
Ste 109
Rowland Hghts, CA 91748
Phone (626) 428-9186
11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555
1190 Pacific Coast Hwy
Ste E
Seal Beach, CA 90740
Phone (562) 431-2031
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Optometrist
- Los Angeles, CA
- NPI 1407917701
-
- Optometrist
- Seal Beach, CA
- NPI 1124171566
-
- Optometrist
- San Diego, CA
- NPI 1861529703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439424000000",
"number": "1992839245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 NOGALES ST",
"address_2": "#109",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917481360",
"telephone_number": "626-965-8698",
"fax_number": "626-965-8697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 NOGALES ST",
"address_2": "#109",
"city": "ROWLAND HEIGHTS",
"state": "CA",
"postal_code": "917481360",
"telephone_number": "626-965-8698",
"fax_number": "626-965-8697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "VINCENT",
"middle_name": "WAI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2015-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "125555T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CB236832",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD012550",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rowland Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.