Organization Active NPI

Castro Valley Optometry Group, Inc.

Doing business as Castro Valley Optometry Group

  • Optometrist
  • Castro Valley, CA
National Provider Identifier
1073817060
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CASTRO VALLEY OPTOMETRY GROUP, INC.
Doing business as
Castro Valley Optometry Group
Practice address
4041 E Castro Valley Blvd
Castro Valley, CA 94552-4840
Phone
(510) 881-8343
Fax
(510) 881-8501
NPI assigned
Jan 5, 2011
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. CHI Ngoc Quang, O.D.NPI 1386871705
Title
Ms./President
Phone
(510) 881-8343

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA Primary

Addresses

Primary practice location

4041 E Castro Valley Blvd
Castro Valley, CA 94552-4840

Mailing address

4041 E Castro Valley Blvd
Castro Valley, CA 94552-4840
Phone (510) 881-8343

Other names 1

  • Castro Valley Optometry Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110112000046 CA Part B Supplier - Clinic/Group Practice 2668661364 Receives reassigned benefits from 4 practitioners
Practice locations: Castro Valley, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1073817060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041 E CASTRO VALLEY BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945524840",
            "telephone_number": "510-881-8343",
            "fax_number": "510-881-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 E CASTRO VALLEY BLVD",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945524840",
            "telephone_number": "510-881-8343",
            "fax_number": "510-881-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTRO VALLEY OPTOMETRY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "QUANG",
        "authorized_official_first_name": "CHI",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "MS./PRESIDENT",
        "authorized_official_telephone_number": "510-881-8343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castro Valley Optometry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.