STEPHEN CHINN NPI 1912976291

NPI Information

  • NPI: 1912976291
  • Provider Name: STEPHEN CHINN
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D2142909
  • Address: 2856 UNIVERSITY AVE
    SAN DIEGO, CA
    ZIP 92104
  • Phone: (619) 280-0664

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NPI Details

Stephen Chinn is an optometrist in San Diego, CA. The provider is 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. Stephen Chinn NPI is 1912976291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2856 UNIVERSITY AVE
SAN DIEGO, CA
ZIP 92104-930
Phone: (619) 280-0664
Fax: (619) 294-8100

The NPI 1912976291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The CLIA number assigned to this NPI record is 05D2142909 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 7/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist5373CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SD0053731MEDICAIDCALIFORNIA
2OP5373MEDICARE UPINCALIFORNIA
30194850002MEDICARE NSCCALIFORNIA
4OP5373BMEDICARE UPINCALIFORNIA
5OP5373BMEDICARE PINCALIFORNIA
6OP5373MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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