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MINA CHEN OD CORP
NPI 1942881180
Optometrist in Petaluma, CA

Active since April 19, 2021
157 PETALUMA BLVD N, PETALUMA, CA 94952(707) 285-7475(707) 285-7476 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mina Chen Od Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINA CHEN OD CORP (NPI 1942881180) is a healthcare organization registered as an optometrist in Petaluma, California and active in the NPI registry since April 2021. The organization lists Mina Chen, Optometrist, Owner, as its authorized official.

NPPES Registry Identity

NPI1942881180
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMINA CHEN OD CORP
Location Address157 PETALUMA BLVD NPetaluma, CA 94952-2904
Mailing Address561 Carlson Ave Apt 332Rohnert Park, CA 94928-2801 · (510) 709-7294
Phone(707) 285-7475
Fax(707) 285-7476
Organization SubpartNo
Authorized OfficialMina ChenOptometrist, Owner · (510) 709-7294
Enumeration DateApril 19, 2021
NPPES CertifiedApril 19, 2021
✔ NPI 1942881180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
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.
157 PETALUMA BLVD N, Petaluma, CA 94952
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mina Chen Od Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mina Chen Od Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mina Chen, OD
Optometry
NPI 1982263265
157 PETALUMA BLVD N
Petaluma, CA 94952
(707) 285-7475
✔ PECOS✔ Accepts MedicareSame address
Julie Wagstaff, O.D.
Optometry
NPI 1124179908
2200 EASTRIDGE LOOP EASTRIDGE MALL STE 1078
San Jose, CA 95122
(408) 270-6161
✔ PECOS✔ Accepts Medicare77 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mina Chen Od Corp's NPI number?

The NPI number for Mina Chen Od Corp is 1942881180. It was assigned to this organization in the NPPES registry on April 19, 2021.

Where is Mina Chen Od Corp located?

Mina Chen Od Corp is located at 157 Petaluma Blvd N, Petaluma, CA 94952. The listed phone number is (707) 285-7475.

What is Mina Chen Od Corp's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mina Chen Od Corp enrolled in Medicare?

Yes. Mina Chen Od Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mina Chen Od Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Mina Chen Od Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mina Chen Od Corp accept?

Health plans from Anthem Blue Cross and Blue Shield list Mina Chen Od Corp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mina Chen Od Corp was last updated on April 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.