KENNY CHEN (NPI# 1861902959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861902959 |
| Entity Type | Individual |
| Full Name | KENNY CHEN |
| Credential | OD |
| Practice Address |
5283 Corporate Dr Ste 201 Frederick MD 21703 |
| Mailing Address |
5283 Corporate Dr Ste 201 Frederick MD 21703-2879 |
| Practice Telephone | 3016224545 |
| Practice Fax Number | 3016224044 |
| Mailing Telephone | 3016224545 |
| Mailing Fax Number | 3016224044 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2019-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TA2699 | MD | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | TUV-008611 | NY | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3711 Queens Blvd, Long Island City, NY 111011725 | 7183615100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437566619 | Kenny Chen | Registered Nurse | 1670 E 120th St, Los Angeles, CA 90059-3026 | 2014-07-19 |
| 1649332743 | Kenny K Chen | Internal Medicine | 2495 Hospital Dr, Suite 650, Mountain View, CA 94040 | 2006-12-14 |
| Street Address |
5283 CORPORATE DR STE 201 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578934550 | Barbara Tarlowski | Physical Therapy Assistant | 347 Ballenger Center Drive, Frederick, MD 21703 | 2015-10-15 |
| 1679958813 | Taiji Acupuncture Clinic | Community Based Residential Treatment Facility, Mental Illness | 1411 Bluewing Ct, Frederick, MD 21703 | 2015-07-29 |
| 1609283050 | Green Ridge Behavioral Health, LLC | Psychiatry & Neurology | 5216 Chairmans Court, Suite 102, Frederick, MD 21703 | 2014-07-17 |
| 1841597705 | Jennifer Anne Dye | Speech-Language Pathologist | 5312 Ballenger Creek Pike, Frederick, MD 21703 | 2011-02-11 |
| 1568794790 | Andersons Community Healthcare Services Inc | Nursing Care | 4727 Verdana Loop, Frederick, MD 21703 | 2010-02-15 |
| 1962672782 | Service Coordination Inc | Case Management | 5303 Spectrum Drive, Suite I, Frederick, MD 21703 | 2008-03-07 |
| 1396877189 | Health and Happiness LLC | Psychologist | 93 S Mccain Drive, Frederick, MD 21703 | 2007-03-09 |
| 1275629776 | Mary Bernadette Sheehy | Nurse Practitioner | Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 | 2006-10-04 |
| 1720185218 | Rea and Derick Inc P 1835 | Pharmacy | 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 | 2006-09-19 |
| 1982711933 | Trevor Johnson | Physical Therapist | 610 Solarex Court, Frederick, MD 21703 | 2006-08-24 |
| Find all providers in zip 21703 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124650916 | National Vision Inc | Optometrist | 7256 Guilford Dr, Frederick, MD 21704-5167 | 2020-02-10 |
| 1720436553 | Myeyedr Optometry of Maryland, LLC | Optometrist | 5500 Buckeystown Pike Ste 892, Frederick, MD 21703-9441 | 2016-06-02 |
| 1659760098 | Longmeadow Optical | Optometrist | 7420 Hayward Rd, Suite 202, Frederick, MD 21702-2507 | 2015-01-22 |
| 1972825388 | Eugene Stephan Channing | Optometrist | 166 Baughman's Lane, Channing Vision-eye Care, Inc., Frederick, MD 21702-4083 | 2010-02-26 |
| 1700018256 | Jeffrey Berger | Optometrist | 5900 Keyes St Ste 101, Frederick, CO 80504-5956 | 2009-08-18 |
| 1003083486 | Cerella F Rainey | Optometrist | 5500 Buckeystown Pike Ste 876, Frederick, MD 21703-9441 | 2008-05-14 |
| 1861683872 | Eye To Eye of Frederick Inc | Optometrist | 2060 Yellow Springs Rd Ste 104, Frederick, MD 21702-2322 | 2007-08-05 |
| 1003024795 | Channing Vision Eye Care Inc | Optometrist | 166 Baughmans Lane, Frederick, MD 21702-4083 | 2007-05-18 |
| 1386857100 | Jennifer Lyn Chen | Optometrist | 10534 Liberty Rd, Frederick, MD 21701-2626 | 2007-05-08 |
| 1679792683 | Irving Gan | Optometrist | 8925 Fingerboard Rd, Suite E, Frederick, MD 21704-8163 | 2007-04-25 |
| Find all providers in FREDERICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.