Radbert Chin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13826 Issued in CA

Practice address

63 W Angela St
Pleasanton, CA 94566-7328

Phone

(415) 336-7201

NPI assigned

Aug 18, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Modern Eyes Optometry, Inc.

  • Optometrist
  • Pleasanton, CA
  • NPI 1902125180
  NPD

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1306078704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 DIVISADERO STREET",
            "address_2": "#103",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151703",
            "telephone_number": "415-336-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 W ANGELA ST",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945667328",
            "telephone_number": "415-336-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "RADBERT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Chiah
• Janell T Child
• Children and Families Mental Health Services
• Tyrell Chilton
• Cheryl Julie Chin, MFT
• Chiron Callaway Chiropractic PC
• Valerie A Chirurgi, MD
• Chan Young Choi, DC
• Eric D Choi, D.C.
• James Choi, DDS

• Optometrist in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.

Verify at the official NPI Registry.