Active NPI
Chad Michael Barritt, O.D.
- Optometrist
- Chula Vista, CA
National Provider Identifier
1265653497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11859T
- Practice address
- 1130 Broadway
Chula Vista, CA 91911 - Phone
- (619) 427-4140
- Fax
- (619) 427-4142
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11859T | CA | Primary |
Addresses
Primary practice location
1130 Broadway
Chula Vista, CA 91911
Mailing address
1455 Chance Mountain Place
Chula Vista, CA 91913
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111128000423 | CA | Practitioner - Optometry | 5395919567 | Practice locations: Chula Vista, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11859T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265653497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 CHANCE MOUNTAIN PLACE",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 BROADWAY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91911",
"telephone_number": "619-427-4140",
"fax_number": "619-427-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRITT",
"first_name": "CHAD",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11859T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.