Individual provider Active NPI

Catherine Chiu, OD

  • Optometrist
  • Jersey City, NJ
National Provider Identifier
1467659235
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00610600 Issued in NJ
Practice address
30-267 Mall Drive West
Jersey City, NJ 07310
Phone
(201) 798-0303
NPI assigned
Jun 27, 2007
Last updated
Jan 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00610600 NJ Primary
Optometrist 152W00000X 007146 NY
Optometrist 152W00000X 27OM00036700 NJ

Addresses

Primary practice location

30-267 Mall Drive West
Jersey City, NJ 07310

Mailing address

30-267 Mall Drive West
Jersey City, NJ 07310
Phone (201) 798-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20121019000102 NJ Order and Referring Only - OptometryPractitioner - Optometry 6305026667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OM00036700NJMDOptometrist
007146NYMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Citilight Optometry, P.C. Optometrist Past Accepting new patients

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, 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": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1467659235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30-267 MALL DRIVE WEST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07310",
            "telephone_number": "201-798-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30-267 MALL DRIVE WEST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07310",
            "telephone_number": "201-798-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00610600",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007146",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OM00036700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.