Individual provider Active NPI

Alice Cho, OD

  • Optometrist
  • Cerritos, CA
National Provider Identifier
1346020575
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5667 Issued in CA
Practice address
18611 Holmes Ave
Cerritos, CA 90703-6344
Phone
(562) 506-6570
NPI assigned
Oct 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X OPT5667 CA Primary

Addresses

Primary practice location

18611 Holmes Ave
Cerritos, CA 90703-6344

Mailing address

18611 Holmes Ave
Cerritos, CA 90703-6344
Phone (562) 506-6570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240718004123 MA Practitioner - Optometry 7416493002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Massachusetts P CGroup PAC ID 1951661297, 57 clinicians

Practice addresses (Care Compare)

164 Sylvan St
Danvers, MA 01923-3561
Phone (978) 744-4500

22 University Dr
Amherst, MA 01002-2243
Phone (413) 549-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5667CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jul 8, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Current Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist CurrentSince Jul 8, 2024 Accepting new patients
Myeyedr Optometry of Massachusetts P C Optometrist Past Accepting new patients

Locations

22 University Dr
Amherst, MA 01002
Phone (413) 549-9400

1328 Massachusetts Ave
Arlington, MA 02476
Phone (617) 484-1414

231 Belmont St
Belmont, MA 02478
Phone (617) 484-1414

495 Cabot St
Ste 1
Beverly, MA 01915
Phone (978) 921-5000

33 Broad St
Boston, MA 02109
Phone (617) 742-7200

11 Harvard St
Brookline, MA 02445
Phone (617) 734-7171

50 Mall Rd
Ste 114
Burlington, MA 01803
Phone (781) 229-2020

164 Sylvan St
Danvers, MA 01923
Phone (978) 744-4500

1191 Chestnut St
Newton Upper Falls, MA 02464
Phone (617) 243-3937

253 Boston St
Topsfield, MA 01983
Phone (978) 887-0068

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1696377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1346020575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18611 HOLMES AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036344",
            "telephone_number": "562-506-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18611 HOLMES AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036344",
            "telephone_number": "562-506-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "ALICE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-04",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cerritos, CA

Sources for this page

Verify at the official NPI Registry.