Active NPI
Chu Laser Eye Institute, PA
- Specialist
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 38792
- Legal business name
- CHU LASER EYE INSTITUTE, PA
- Practice address
- 9117 Lyndale Ave S
Bloomington, MN 55420-3522 - Phone
- (952) 835-0965
- Fax
- (952) 835-1092
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yunsen Ralph Chu, MD
- Title
- President Medical Director
- Phone
- (952) 835-0965
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 38792 | MN | Primary |
Addresses
Primary practice location
9117 Lyndale Ave S
Bloomington, MN 55420-3522
Mailing address
9117 Lyndale Ave S
Bloomington, MN 55420-3522
Phone (952) 835-0965
Other names 1
- Chu Vision Institute, PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2041048 | Chu Laser Eye Institute PA | Certificate of waiver | May 14, 2028 |
National Provider Directory
National Provider DirectoryLocations
7760 France Ave S
Ste 140
Edina, MN 55435
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Bloomington, MN
- NPI 1659367423
-
- Optometrist
- Bloomington, MN
- NPI 1629701099
-
- Optometrist
- Eagan, MN
- NPI 1174528608
-
- Optometrist
- Rogers, MN
- NPI 1285868752
-
- Optometrist
- Bloomington, MN
- NPI 1396585923
-
- Optometrist
- Bloomington, MN
- NPI 1275159915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1329264000000",
"number": "1407977762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9117 LYNDALE AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554203522",
"telephone_number": "952-835-0965",
"fax_number": "952-835-1092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9117 LYNDALE AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554203522",
"telephone_number": "952-835-0965",
"fax_number": "952-835-1092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHU LASER EYE INSTITUTE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2012-02-15",
"status": "A",
"authorized_official_last_name": "CHU",
"authorized_official_first_name": "YUNSEN",
"authorized_official_middle_name": "RALPH",
"authorized_official_title_or_position": "PRESIDENT MEDICAL DIRECTOR",
"authorized_official_telephone_number": "952-835-0965",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MN",
"license": "38792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chu Vision Institute, PA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.