Individual provider Active NPI

Christine J.J. Chao, O.D.

  • Optometrist
  • Davis, CA
National Provider Identifier
1437125523
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10612T Issued in CA
Practice address
1970 Lake Blvd
Ste 7
Davis, CA 95616-5663
Phone
(530) 756-9393
Fax
(530) 756-9398
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10612T CA Primary

Addresses

Primary practice location

1970 Lake Blvd
Ste 7
Davis, CA 95616-5663

Mailing address

1970 Lake Blvd
Ste 7
Davis, CA 95616-5663
Phone (530) 756-9393

Other names 1

  • Christine Joy Jee Former name

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
I20040127001125 CA Practitioner - Optometry 1456254622 Practice locations: Davis, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1970 Lake Blvd
Davis, CA 95616-5663
Phone (530) 756-9393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10612TCAMDOptometrist
10612CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Christine J.J. Chao, O.D., Inc. Optometrist CurrentSince Oct 11, 2011 Accepting new patients

Locations

1970 Lake Blvd
Ste 7
Davis, CA 95616
Phone (530) 756-9393

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1437125523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 LAKE BLVD",
            "address_2": "STE 7",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165663",
            "telephone_number": "530-756-9393",
            "fax_number": "530-756-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 LAKE BLVD",
            "address_2": "STE 7",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165663",
            "telephone_number": "530-756-9393",
            "fax_number": "530-756-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "CHRISTINE",
        "middle_name": "J.J.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10612T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "JEE",
            "middle_name": "JOY",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.