Individual provider Active NPI

John TC Chu, O.D.

  • Optometrist
  • Rochester, NY
National Provider Identifier
1326073784
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003627 Issued in NY
Practice address
2345 Ridgeway Ave
Rochester, NY 14626-4111
Phone
(585) 723-6070
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003627 NY Primary

Addresses

Primary practice location

2345 Ridgeway Ave
Rochester, NY 14626-4111

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504
Phone (585) 723-6070

Other practice location 1

500 Kreag Road
Pittsford, NY 14534
Phone (585) 723-6070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20050114000404 NY Practitioner - Optometry 6507815735 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Aug 1, 2019 Accepting new patients
Western New York Medical Practice PC CurrentSince Aug 1, 2019 Accepting new patients

Locations

39 Washington Ave
Batavia, NY 14020
Phone (585) 343-2480

500 Kreag Rd
Pittsford, NY 14534
Phone (585) 249-8300

1425 Portland Ave
Bldg 1
Rochester, NY 14621
Phone (585) 338-1400

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

2345 Ridgeway Ave
Rochester, NY 14626
Phone (585) 723-6070

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1326073784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-723-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 RIDGEWAY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146264111",
            "telephone_number": "585-723-6070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Kreag Road",
            "address_purpose": "LOCATION",
            "city": "Pittsford",
            "state": "NY",
            "postal_code": "14534",
            "country_code": "US",
            "telephone_number": "585-723-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "JOHN",
        "middle_name": "TC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "003627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.