Individual provider Active NPI

Hilary Kay Chiem, O.D.

  • Optometrist
  • Foster City, CA
National Provider Identifier
1265815609
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15330 Issued in CA
Practice address
2220 Bridgepointe Pkwy
Foster City, CA 94404-1569
Phone
(650) 243-7584
Fax
(650) 212-0279
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8647T TX
Optometrist 152W00000X 15330 CA Primary

Addresses

Primary practice location

2220 Bridgepointe Pkwy
Foster City, CA 94404-1569

Mailing address

201 Miraluna Dr
San Bruno, CA 94066-1765
Phone (650) 243-7584

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
I20180402000977 CA Practitioner - Optometry 6608171053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8647TTXMDOptometrist

Organizations & group practices 1

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1265815609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MIRALUNA DR",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940661765",
            "telephone_number": "650-243-7584",
            "fax_number": "650-212-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 BRIDGEPOINTE PKWY",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041569",
            "telephone_number": "650-243-7584",
            "fax_number": "650-212-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEM",
        "first_name": "HILARY",
        "middle_name": "KAY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8647T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foster City, CA

Sources for this page

Verify at the official NPI Registry.