Organization Active NPI

Christina Chun, O.D., Incorporated

  • Optometrist
  • Novato, CA
National Provider Identifier
1306902374
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11416T Issued in CA
Legal business name
CHRISTINA CHUN, O.D., INCORPORATED
Practice address
300 Vintage Way
Novato, CA 94945-5007
Phone
(415) 898-5591
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. Christina Chun, O.D.
Title
President
Phone
(415) 898-5591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11416T CA Primary

Addresses

Primary practice location

300 Vintage Way
Novato, CA 94945-5007

Mailing address

300 Vintage Way
Novato, CA 94945-5007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1306902374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 VINTAGE WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 VINTAGE WAY",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455007",
            "telephone_number": "415-898-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA CHUN, O.D., INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-898-5591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11416T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.