Justin Chihyan Pao, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV007747-1 Issued in NY

Practice address

301 Andrews Ave
Fort Rucker, AL 36362-5333

Phone

(800) 261-7193

NPI assigned

Jul 29, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1033497748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LAKE RD APT 411",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131535",
            "telephone_number": "609-472-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "800-261-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAO",
        "first_name": "JUSTIN",
        "middle_name": "CHIHYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-29",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007747-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Wayne Olins, D.O.
• Jeremy Erin Omealey, NREMT
• Theresa Dianne Osteen, RD
• Kevin Charles Ottiano
• Nirmal Pandey, EMT-B
• Andrew Parker, NREMT-P
• Shawn Ivan Parsons, RPH, RN
• Kristina Ann Pate, NURSING ASSISTANT
• Brian Lee Patrick, NREMT-B, COHC
• Anthony B Patterson, MD

• Optometrist in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.