Family Optometric Associates of California, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15408 Issued in CA

Legal business name

FAMILY OPTOMETRIC ASSOCIATES OF CALIFORNIA, INC.

Doing business as

Family Optometric Associates

Practice address

2260 Callahan Hwy
BLDG 3187-a
San Diego, CA 92136

Phone

(619) 550-2679

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Steven M. Chado, O.D.NPI 1154371532

Title

Chief Executive Officer, President

Phone

(240) 405-8244

Specialties & licenses 1

Addresses

Other names 1

• FAMILY OPTOMETRIC ASSOCIATES Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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

• Steven Michael Chado, OD

  • Optometrist
  • Hagerstown, MD
  • NPI 1154371532

  CA

  Medicare reassignment Care Compare group NPD Authorized official
• Brian Phu Vo, OD

  • Optometrist
  • San Diego, CA
  • NPI 1518616473
  Medicare reassignment Care Compare group NPD
• Theresa Floresca, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1629356563
  Medicare reassignment NPD
• Justin Paul Kozloski, O.D.

  • Optometrist
  • Indio, CA
  • NPI 1407305097
  Medicare reassignment NPD
• Samuel Chado, OD

  • Optometrist
  • Rockville, MD
  • NPI 1285049437

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1235501321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 CALLAHAN HWY",
            "address_2": "BLDG 3187-A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92136",
            "telephone_number": "619-550-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 CALLAHAN HWY",
            "address_2": "BLDG 3187-A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92136",
            "telephone_number": "619-550-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OPTOMETRIC ASSOCIATES OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "CHADO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER, PRESIDENT",
        "authorized_official_telephone_number": "240-405-8244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY OPTOMETRIC ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.