Individual provider Active NPI

Charles Tu, OD

  • Optometrist
  • San Diego, CA
National Provider Identifier
1073137691
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34618TLG Issued in CA
Practice address
2150 Pacific Beach Dr Apt 234
San Diego, CA 92109-5639
Phone
(626) 672-8804
NPI assigned
May 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34618TLG CA Primary

Addresses

Primary practice location

2150 Pacific Beach Dr Apt 234
San Diego, CA 92109-5639

Mailing address

2150 Pacific Beach Dr Apt 234
San Diego, CA 92109-5639
Phone (626) 672-8804

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
I20201019002933 CA Practitioner - Optometry 8224458930 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34618CAMDMental Health Counselor
34618TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tu Visionaries Optometric PC Optometrist Current Accepting new patients
Imperial Valley Optometric Corporation Optometrist CurrentSince Aug 24, 2020 Accepting new patients
Total Vision PC Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

890 Eastlake Pkwy
Ste 102
Chula Vista, CA 91914
Phone (619) 216-3937

374 E H St
Chula Vista, CA 91910
Phone (619) 425-7990

374 E H St
Ste 1708
Chula Vista, CA 91910
Phone (619) 425-7990

3451 S Dogwood Rd
Ste 1334
El Centro, CA 92243
Phone (760) 336-3003

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

Organizations & group practices 4

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1073137691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PACIFIC BEACH DR APT 234",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095639",
            "telephone_number": "626-672-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PACIFIC BEACH DR APT 234",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095639",
            "telephone_number": "626-672-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TU",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34618TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.