Individual provider Active NPI

Caroline Cherng, O.D.

  • Optometrist
  • Santa Cruz, CA
National Provider Identifier
1225551104
Registry record updated Jul 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33763TLG Issued in CA
Practice address
904 Cedar St
Santa Cruz, CA 95060-3802
Phone
(831) 426-1050
NPI assigned
Jul 21, 2017
Last updated
Jul 21, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33763TLG CA Primary

Addresses

Primary practice location

904 Cedar St
Santa Cruz, CA 95060-3802

Mailing address

20449 Miljevich Dr
Saratoga, CA 95070-4348

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
I20171006000743 CA Practitioner - Optometry 9032484670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anthony P. Giannotti OD Professional Optometric CorpGroup PAC ID 2365569811, 2 clinicians

Practice addresses (Care Compare)

221 Mount Hermon Rd
Suite G
Scotts Valley, CA 95066-4038
Phone (831) 438-4482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33763TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince May 15, 2023 Accepting new patients
Anthony P. Giannotti OD Professional Optometric Corp Optometrist CurrentSince Oct 25, 2024 Accepting new patients

Locations

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

904 Cedar St
Santa Cruz, CA 95060
Phone (408) 426-1050

221 Mount Hermon Rd
Ste G
Scotts Valley, CA 95066
Phone (831) 438-4482

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, 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": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500595200000",
    "number": "1225551104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20449 MILJEVICH DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 CEDAR ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950603802",
            "telephone_number": "831-426-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNG",
        "first_name": "CAROLINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2017-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33763TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.