Individual provider Active NPI

Cindy Chau

  • Optometrist
  • Beverly Hills, CA
National Provider Identifier
1215770656
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35689-TLG Issued in CA
Practice address
450 N Bedford Dr Ste 101
Beverly Hills, CA 90210-4305
Phone
(310) 274-9205
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35689-TLG CA Primary

Addresses

Primary practice location

450 N Bedford Dr Ste 101
Beverly Hills, CA 90210-4305

Mailing address

4541 Livia Ave
Rosemead, CA 91770-1438
Phone (626) 560-4292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628003117 CA Practitioner - Optometry 3577007723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peter J Cornell M D IncGroup PAC ID 3476690959, 4 clinicians

Practice addresses (Care Compare)

450 N Bedford Dr
Suite 101
Beverly Hills, CA 90210-4305
Phone (310) 274-9205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35689CAMDGeneral Practice Dentistry
OPT35689-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter J Cornell MD Inc CurrentSince Jun 17, 2024 Accepting new patients
Peter J Cornell MD Inc CurrentSince Jun 17, 2024 Accepting new patients

Locations

450 N Bedford Dr
Ste 101
Beverly Hills, CA 90210
Phone (310) 274-9205

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1215770656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 LIVIA AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701438",
            "telephone_number": "626-560-4292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104305",
            "telephone_number": "310-274-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAU",
        "first_name": "CINDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35689-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.