Organization Active NPI

Iron Horse Optometric Group

  • Optometrist
  • Dublin, CA
National Provider Identifier
1265840672
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13149 Issued in CA
Legal business name
IRON HORSE OPTOMETRIC GROUP
Practice address
7197 Village Pkwy Ste D
Dublin, CA 94568-2411
Phone
(925) 828-9511
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Dr. Sara Yee Wen Chiu, O.D.NPI 1982701595
Title
Secretary
Phone
(650) 995-3284

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13149 CA Primary

Addresses

Primary practice location

7197 Village Pkwy Ste D
Dublin, CA 94568-2411

Mailing address

7197 Village Pkwy Ste D
Dublin, CA 94568-2411
Phone (925) 828-9511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141028000007 CA Part B Supplier - Clinic/Group Practice 1557582079 Receives reassigned benefits from 4 practitioners
Practice locations: Dublin, CA

National Provider Directory

National Provider Directory

Locations

7197 Village Pkwy
Ste D
Dublin, CA 94568
Phone (925) 828-9511

7197 Village Pkwy
Dublin, CA 94568

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1265840672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7197 VILLAGE PKWY STE D",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682411",
            "telephone_number": "925-828-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7197 VILLAGE PKWY STE D",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682411",
            "telephone_number": "925-828-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRON HORSE OPTOMETRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "YEE WEN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "650-995-3284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.