Organization Active NPI

Choice Vision Optometry, Inc

  • Optometrist
  • Chula Vista, CA
National Provider Identifier
1144409574
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13186T Issued in CA
Legal business name
CHOICE VISION OPTOMETRY, INC
Practice address
2334 Proctor Valley Rd
105
Chula Vista, CA 91914-6006
Phone
(619) 397-7070
NPI assigned
Nov 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Dr. Henry Etsuro Kikunaga, O.D.NPI 1841406394
Title
Owner
Phone
(619) 397-7070

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13186T CA Primary

Addresses

Primary practice location

2334 Proctor Valley Rd
105
Chula Vista, CA 91914-6006

Mailing address

2334 Proctor Valley Rd
105
Chula Vista, CA 91914-6006

National Provider Directory

National Provider Directory

Locations

2334 Proctor Valley Rd
Ste 105
Chula Vista, CA 91914
Phone (619) 397-7070

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": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1144409574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2334 PROCTOR VALLEY RD",
            "address_2": "105",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919146006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 PROCTOR VALLEY RD",
            "address_2": "105",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919146006",
            "telephone_number": "619-397-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE VISION OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "KIKUNAGA",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "ETSURO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-397-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13186T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.