Geoffrey Bryan Chaffe, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6409T Issued in CA

Practice address

6480 Palma Ave
Atascadero, CA 93422-4208

Phone

(805) 466-4877

Fax

(805) 466-1149

NPI assigned

Jun 12, 2006

Last updated

Jun 25, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern California College of Optometry, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sani Eye Center Inc.Group PAC ID 4789603549, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gc@sanieyecenter.direct.eyemdemr.com

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.

• Sani Eye Center Inc.

  • Ophthalmology Physician
  • Templeton, CA
  • NPI 1407056591
  Medicare reassignment Care Compare group NPD
• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1255373551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 PALMA AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224208",
            "telephone_number": "805-466-4877",
            "fax_number": "805-466-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 PALMA AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224208",
            "telephone_number": "805-466-4877",
            "fax_number": "805-466-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFE",
        "first_name": "GEOFFREY",
        "middle_name": "BRYAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6409T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0064090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Coast Freedom House
• Central Coast Health Care, Inc.
• Central Coast Healthcare, a Professional Medical Corp (Central Coast Health Care Inc.)
• Central Coast RX Inc (En Soleil Pharmacy)
• Central Coast RX Inc (En Soleil Pharmacy)
• Ronald Chalker, DDS
• Maru Chamorro-Kiel, RCN
• Therese Eden Chan-McNabb, M.D.
• Charlotte Milch, D.D.S., Inc. (Brightwood Dental)
• Cristy Chavez

• Optometrist in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.