Organization Active NPI

Chu Laser Eye Institute, PA

  • Specialist
  • Bloomington, MN
National Provider Identifier
1407977762
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
38792 Issued in MN
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

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Dr. Yunsen Ralph Chu, MDNPI 1659367423
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050812000430 MN Part B Supplier - Clinic/Group Practice 4082644786 Receives reassigned benefits from 8 practitioners
Practice locations: Bloomington, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2041048Chu Laser Eye Institute PA9117 Lyndale Avenue South, Bloomington, MN 55420Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.