Individual provider Active NPI

Kai Lai Chu, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1205446358
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011482 Issued in IL
Practice address
1430 South Ashland Avenue
Optometry Dept Within
Chicago, IL 60608-3506
Phone
(312) 270-8988
Fax
(312) 416-1133
NPI assigned
Aug 4, 2020
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011482 IL Primary

Addresses

Primary practice location

1430 South Ashland Avenue
Optometry Dept Within
Chicago, IL 60608-3506

Mailing address

1430 South Ashland Avenue
Optometry Dept Within
Chicago, IL 60608-3506
Phone (312) 270-8988

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eyedoc Sunshine LLC Optometrist Current Accepting new patients

Locations

1430 S Ashland Ave
Chicago, IL 60608
Phone (312) 270-8988

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1205446358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SOUTH ASHLAND AVENUE",
            "address_2": "OPTOMETRY DEPT WITHIN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083506",
            "telephone_number": "312-270-8988",
            "fax_number": "312-416-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 SOUTH ASHLAND AVENUE",
            "address_2": "OPTOMETRY DEPT WITHIN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606083506",
            "telephone_number": "312-270-8988",
            "fax_number": "312-416-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "KAI LAI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.