Individual provider Active NPI

Chiara Delos Reyes, OD

  • Optometrist
  • Irvine, CA
National Provider Identifier
1447923974
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34954 Issued in CA
Practice address
188 Cherrybrook LN
Irvine, CA 92618-3980
Phone
(949) 466-7035
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34954 CA Primary

Addresses

Primary practice location

188 Cherrybrook LN
Irvine, CA 92618-3980

Mailing address

188 Cherrybrook LN
Irvine, CA 92618-3980
Phone (949) 466-7035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34954CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Third Optometric Care of California Optometrist Current Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Third Optometric Care of California PC Optometrist CurrentSince Oct 1, 2021 Accepting new patients

Locations

17585 Harvard Ave
Ste E
Irvine, CA 92614
Phone (949) 477-2424

15333 Culver Dr
Ste 690
Irvine, CA 92604
Phone (949) 552-4271

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1447923974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 CHERRYBROOK LN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183980",
            "telephone_number": "949-466-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 CHERRYBROOK LN",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183980",
            "telephone_number": "949-466-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOS REYES",
        "first_name": "CHIARA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.