Jonathan Chan O.D. Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JONATHAN CHAN O.D. INC

Practice address

2615 Tuscany St
Corona, CA 92881

Phone

(951) 268-3036

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Chan, OD

Title

President

Phone

(562) 537-8687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571011200000",
    "number": "1386286193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 MAJESTIC DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 TUSCANY ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92881",
            "telephone_number": "951-268-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN CHAN O.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-14",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-537-8687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Johnson
• Tia Johnson
• Helen M. Johnston
• Nicole Johnston
• Alisa Deanna Joiner
• Chaundra Dejure Jones
• Christopher Jones
• Joe Lenn Jones III, AA, AS
• Jonathan Jones
• Jordan Jones

• Optometrist in Corona, CA
• Providers in Corona, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.