Individual provider Active NPI

Krystal Rebecca Chee, O.D.

  • Optometrist
  • Mesa, AZ
National Provider Identifier
1295288306
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2142 Issued in AZ
Practice address
6131 E Southern Ave
Suite Number 700
Mesa, AZ 85206-3732
Phone
(480) 830-7174
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2142 AZ Primary

Addresses

Primary practice location

6131 E Southern Ave
Suite Number 700
Mesa, AZ 85206-3732

Mailing address

4823 E Charleston Ave
Scottsdale, AZ 85254-7543
Phone (602) 421-4359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2142AZMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1295288306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4823 E CHARLESTON AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852547543",
            "telephone_number": "602-421-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6131 E SOUTHERN AVE",
            "address_2": "SUITE NUMBER 700",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063732",
            "telephone_number": "480-830-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEE",
        "first_name": "KRYSTAL",
        "middle_name": "REBECCA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.