Active NPI
Harren Chu, O.D.
- Optometrist
- Fremont, CA
National Provider Identifier
1124043682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- CA10680T
- Practice address
- 43625 Mission Blvd
Suite 103
Fremont, CA 94539-5852 - Phone
- (510) 623-8889
- Fax
- (510) 623-1849
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CA10680T | CA | Primary |
Addresses
Primary practice location
43625 Mission Blvd
Suite 103
Fremont, CA 94539-5852
Mailing address
43625 Mission Blvd
Suite 103
Fremont, CA 94539-5852
Phone (510) 623-8889
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8179 | Other | AVP | |
| 210887 | Other | EYEMED | |
| SD0106800 | Medicaid | CA | |
| SD010680T0 | Other | BLUE SHIELD | |
| 897328 | Other | SAFEGUARD | |
| CA10680 | Other | VBA | |
| 12483 | Other | MES | |
| 1124043682 | Other | VSP | |
| 45800 | Other | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA10680T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297123200000",
"number": "1124043682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43625 MISSION BLVD",
"address_2": "SUITE 103",
"city": "FREMONT",
"state": "CA",
"postal_code": "945395852",
"telephone_number": "510-623-8889",
"fax_number": "510-623-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43625 MISSION BLVD",
"address_2": "SUITE 103",
"city": "FREMONT",
"state": "CA",
"postal_code": "945395852",
"telephone_number": "510-623-8889",
"fax_number": "510-623-1849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "HARREN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2011-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "CA10680T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVP",
"identifier": "8179",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "210887",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0106800",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "SD010680T0",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD",
"identifier": "897328",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA",
"identifier": "CA10680",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MES",
"identifier": "12483",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP",
"identifier": "1124043682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "45800",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.