Organization Active NPI

Chou Optometry Inc.

  • Optometrist
  • Rancho Palos Verdes, CA
National Provider Identifier
1124773536
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHOU OPTOMETRY INC.
Practice address
28356 S Western Ave
Rancho Palos Verdes, CA 90275-1434
Phone
(310) 831-0841
Fax
(310) 831-0842
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Dr. Jeffrey M Chou, ODNPI 1013270586
Title
President
Phone
(909) 569-9703

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

28356 S Western Ave
Rancho Palos Verdes, CA 90275-1434

Mailing address

28356 S Western Ave
Rancho Palos Verdes, CA 90275-1434
Phone (310) 831-0841

Other names 2

  • Archetype Optometry Doing business as
  • Westmont Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220404000471 CA Part B Supplier - Clinic/Group Practice 3577959337 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Palos Verdes, CA

National Provider Directory

National Provider Directory

Locations

129 S 8th Ave
Ste B
La Puente, CA 91746
Phone (310) 929-0037

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1124773536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28356 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751434",
            "telephone_number": "310-831-0841",
            "fax_number": "310-831-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28356 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751434",
            "telephone_number": "310-831-0841",
            "fax_number": "310-831-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOU OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2023-05-15",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-569-9703",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Archetype Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westmont Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westmont Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.