Selena Chan, O.D., a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

11109T Issued in CA

Legal business name

SELENA CHAN, O.D., A PROFESSIONAL CORPORATION

Doing business as

Pacific Rims Optometry

Practice address

619 Irving St
San Francisco, CA 94122-2401

Phone

(415) 661-8253

NPI assigned

Jan 16, 2013

Last updated

Aug 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Selena Chan, O.D.NPI 1215063953

Title

Optometrist

Phone

(415) 661-8253

Specialties & licenses 1

Addresses

Other names 1

• Pacific Rims Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Selena Y. Chan, O.D.

  • Optometrist
  • San Francisco, CA
  • NPI 1215063953
  Medicare reassignment NPD Authorized official
• Patricia Le, O.D.

  • Optometrist
  • Chino, CA
  • NPI 1528506698
  Medicare reassignment NPD
• Haomin Mai, OD

  • Optometrist
  • San Francisco, CA
  • NPI 1205672649
  Medicare reassignment NPD
• Bruce Gary Dong, OPTOMETRIST

  • Optometrist
  • San Francisco, CA
  • NPI 1003997552
  NPD (past)

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1376881912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 IRVING ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222401",
            "telephone_number": "415-661-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 IRVING ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941222401",
            "telephone_number": "415-661-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELENA CHAN, O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "SELENA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "415-661-8253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11109T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Rims Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Select Cal Physical Therapy PC (Select Physical Therapy)
• Select Cal Physical Therapy PC (Select Physical Therapy)
• Select Cal Physical Therapy PC (Select Physical Therapy)
• Select Cal Physical Therapy PC (Select Physical Therapy)
• Select Physical Therapy Holdings Inc.
• Self Care Inc (Bay Area Diabetes Supply Center)
• Self-Help for the Elderly
• Self-Help for the Elderly
• Self-Help for the Elderly (Self-Help HomeCare & Hospice)
• Self-Help for the Elderly

• Optometrist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.