Individual provider Active NPI

Jolyn Thuy VI Chinone, O.D.

  • Optometrist
  • Concord, CA
National Provider Identifier
1275898215
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15203 Issued in CA
Practice address
169 Sun Valley Mall
Concord, CA 94520-5804
Phone
(925) 682-8884
Fax
(925) 682-5390
NPI assigned
Jul 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007888 NY
Optometrist 152W00000X 15203 CA Primary

Addresses

Primary practice location

169 Sun Valley Mall
Concord, CA 94520-5804

Mailing address

169 Sun Valley Mall
Concord, CA 94520-5804
Phone (925) 682-8884

Other practice location 1

53 Colma Blvd
Colma, CA 94014-3231
Phone (650) 992-1800

Other names 1

  • Jolyn Thuy VI Tran Former name

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
I20260320001462 CA Practitioner - Optometry 5698922151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

169 Sun Valley Mall
Concord, CA 94520-5804

324 King Dr
South San Francisco, CA 94080-3036

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007888NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chinone Optometry Corporation Optometrist Current Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

53 Colma Blvd
Colma, CA 94014
Phone (650) 992-1800

53 Colma Blvd
#F2
Colma, CA 94014
Phone (650) 992-2700

169 Sun Valley Mall
Concord, CA 94520
Phone (925) 682-8884

Organizations & group practices 2

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1275898215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SUN VALLEY MALL",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205804",
            "telephone_number": "925-682-8884",
            "fax_number": "925-682-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SUN VALLEY MALL",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205804",
            "telephone_number": "925-682-8884",
            "fax_number": "925-682-5390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Colma Blvd",
            "address_purpose": "LOCATION",
            "city": "Colma",
            "state": "CA",
            "postal_code": "940143231",
            "country_code": "US",
            "telephone_number": "650-992-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINONE",
        "first_name": "JOLYN",
        "middle_name": "THUY VI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007888",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLYN",
            "last_name": "TRAN",
            "middle_name": "THUY VI",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.