Organization Active NPI

Looking Glass Optometry Inc

  • Optometrist
  • Pleasant Hill, CA
National Provider Identifier
1366416596
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10846T Issued in CA
Legal business name
LOOKING GLASS OPTOMETRY INC
Practice address
401 Gregory LN
Suite 110
Pleasant Hill, CA 94523-2800
Phone
(925) 687-7638
Fax
(925) 687-3079
NPI assigned
Feb 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Dr. Eileen I-Chun Cheng, O.D.NPI 1215907076
Title
President
Phone
(925) 687-7638

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 10846T CA Primary

Addresses

Primary practice location

401 Gregory LN
Suite 110
Pleasant Hill, CA 94523-2800

Mailing address

401 Gregory LN
Suite 110
Pleasant Hill, CA 94523-2800
Phone (925) 687-7638

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051229000810 CA Part B Supplier - Clinic/Group Practice 6709808074 Receives reassigned benefits from 2 practitioners
Practice locations: Pleasant Hill, CA

National Provider Directory

National Provider Directory

Locations

401 Gregory Ln
Ste 110
Pleasant Hill, CA 94523
Phone (925) 687-7638

Practitioners & affiliated clinicians

Practitioners 2

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": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1366416596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN",
            "address_2": "SUITE 110",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232800",
            "telephone_number": "925-687-7638",
            "fax_number": "925-687-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN",
            "address_2": "SUITE 110",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232800",
            "telephone_number": "925-687-7638",
            "fax_number": "925-687-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOKING GLASS OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "I-CHUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-687-7638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10846T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.