Individual provider Active NPI

Manmeet Chatha, O.D.

  • Optometrist
  • Concord, CA
National Provider Identifier
1063897494
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35100 Issued in CA
Practice address
2415 High School Ave Ste 200
Concord, CA 94520-1821
Phone
(925) 689-2852
NPI assigned
Jul 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010938 IL
Optometrist 152W00000X 0618002833 VA
Optometrist 152W00000X 35100 CA Primary

Addresses

Primary practice location

2415 High School Ave Ste 200
Concord, CA 94520-1821

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209002129 CA Practitioner - Optometry 8426352899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2415 High School Ave
Suite 200
Concord, CA 94520-1821
Phone (925) 689-2852

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35100CAMDChiropractor
046010938ILMDOptometrist
0618002833VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Manmeet Chatha Corporation Optometrist CurrentSince Dec 1, 2022 Accepting new patients
District Eyecare Inc Optometrist CurrentSince Feb 6, 2020 Accepting new patients
Optometric Consultants of Virginia, Inc Optometrist PastSince Feb 1, 2020 Accepting new patients

Locations

2415 High School Ave
Ste 200
Concord, CA 94520
Phone (925) 689-2852

3903 Fair Ridge Dr
Unit E
Fairfax, VA 22033
Phone (703) 961-9119

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1063897494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 HIGH SCHOOL AVE STE 200",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201821",
            "telephone_number": "925-689-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATHA",
        "first_name": "MANMEET",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-27",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010938",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002833",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.