Organization Active NPI

Dr. Pei CHI Chain, OD, Optometric Corporation

  • Optometrist
  • San Diego, CA
National Provider Identifier
1306573381
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. PEI CHI CHAIN, OD, OPTOMETRIC CORPORATION
Practice address
7835 Highland Village PL Ste D106
San Diego, CA 92129-5185
Phone
(858) 250-0052
NPI assigned
Aug 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Pei CHI Chain, ODNPI 1730676727
Title
Optometrist
Phone
(858) 250-0052

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 Primary

Addresses

Primary practice location

7835 Highland Village PL Ste D106
San Diego, CA 92129-5185

Mailing address

7835 Highland Village PL Ste D106
San Diego, CA 92129-5185
Phone (858) 250-0052

Other names 1

  • SPOTLIGHT OPTOMETRY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Desktop

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221205001801 CA Part B Supplier - Clinic/Group Practice 8123497609 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

7835 Highland Village Pl
Ste D106
San Diego, CA 92129
Phone (858) 250-0052

Practitioners & affiliated clinicians

Practitioners 1

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": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1306573381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7835 HIGHLAND VILLAGE PL STE D106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921295185",
            "telephone_number": "858-250-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7835 HIGHLAND VILLAGE PL STE D106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921295185",
            "telephone_number": "858-250-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PEI CHI CHAIN, OD, OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "CHAIN",
        "authorized_official_first_name": "PEI CHI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "858-250-0052",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Desktop",
            "affiliation": "N",
            "address_1": "7835 Highland Village Pl Ste D106",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921295185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SPOTLIGHT OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.