Active NPI
Naileen C Chand, O.D.
- Optometrist
- Hayward, CA
National Provider Identifier
1417032897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12112
- Practice address
- 500 Southland Mall
Hayward, CA 94545-2148 - Phone
- (510) 887-2800
- Fax
- (510) 887-2803
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT12112 | CA | Primary |
Addresses
Primary practice location
500 Southland Mall
Hayward, CA 94545-2148
Mailing address
25963 Gushue St
Hayward, CA 94544-2961
Phone (510) 885-9318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12112 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| OPT12112 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearle Visioncare, Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1417032897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25963 GUSHUE ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945442961",
"telephone_number": "510-885-9318",
"fax_number": "650-329-1069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SOUTHLAND MALL",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452148",
"telephone_number": "510-887-2800",
"fax_number": "510-887-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAND",
"first_name": "NAILEEN",
"middle_name": "C",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.