Individual provider Active NPI

Christina Chun, O.D.

  • Optometrist
  • Novato, CA
National Provider Identifier
1386037992
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11416T Issued in CA
Practice address
300 Vintage Way
Novato, CA 94945-5007
Phone
(415) 898-5591
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11416T CA Primary

Addresses

Primary practice location

300 Vintage Way
Novato, CA 94945-5007

Mailing address

300 Vintage Way
Novato, CA 94945-5007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250423003193 CA Practitioner - Optometry 5294817615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Napa Valley Optometric GRP a Prof CorpGroup PAC ID 5890742399, 4 clinicians

Practice addresses (Care Compare)

1104 Pear Tree LN
Napa, CA 94558-6446
Phone (707) 252-5380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11416TCAMDOptometrist
11416CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Valley Optometric Group Optometrist CurrentSince Mar 12, 2025 Accepting new patients

Locations

1104 Pear Tree Ln
Napa, CA 94558
Phone (707) 252-5380

Interoperability endpoints

  • Direct secure messaging: cchun725282@direct.ochin.org

Organizations & group practices 1

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1386037992",
    "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": {
        "last_name": "CHUN",
        "first_name": "CHRISTINA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11416T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.