STEPHEN CHINN OD
NPI 1881901932
Preferred Provider Organization in San Diego, CA

Active since September 10, 2010
2811 UNIVERSITY AVE, SUITE C, SAN DIEGO, CA 92104(619) 280-0664(619) 294-8100 Get Directions Write a Review

NPPES record last updated: September 10, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Preferred Provider Organization

About STEPHEN CHINN OD

This page provides the complete NPI Profile along with additional information for Stephen Chinn Od, a provider established in San Diego, California operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1881901932 assigned on September 2010. The practitioner's primary taxonomy code is 305R00000X with license number 5373TPL (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's is doing business as Stephen Chinn Od. The authorized official of this NPI record is Dr. Stephen Chinn O.d. (Optometrist)

NPI
1881901932 Verify this NPI
Provider Legal Name
STEPHEN CHINN OD A PROFESSIONAL CORPERATION DBA AS STEPHEN CHINN OD
Other Organization Name
STEPHEN CHINN OD
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2811 UNIVERSITY AVE SUITE C SAN DIEGO, CA 92104
Location Phone
(619) 280-0664
Location Fax
(619) 294-8100
Mailing Address
2811 UNIVERSITY AVE SUITE C SAN DIEGO, CA 92104
Mailing Phone
(619) 280-0664
Mailing Fax
(619) 294-8100
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-10-2010
Last Update Date
09-10-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
5373TPL
License State
CA
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. STEPHEN CHINN O.D.

Authorized Official Title
OPTOMETRIST
Authorized Official Phone
(619) 280-0664

Reviews for STEPHEN CHINN OD

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Optometrist
2811 UNIVERSITY AVE, C
SAN DIEGO, CA 92104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881901932, enumerated as an "organization" on September 10, 2010.

The provider is located at 2811 UNIVERSITY AVE SUITE C SAN DIEGO, CA 92104 and the phone number is (619) 280-0664.

Preferred Provider Organization with taxonomy code 305R00000X.