Individual provider Active NPI

Victoria Eugenia Chiu, O.D.

  • Optometrist
  • San Ramon, CA
National Provider Identifier
1477832574
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14261 TLG Issued in CA
Practice address
175 Market PL
San Ramon, CA 94583-4741
Phone
(510) 275-0202
NPI assigned
Aug 8, 2011
Last updated
Apr 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14261 TLG CA Primary

Addresses

Primary practice location

175 Market PL
San Ramon, CA 94583-4741

Mailing address

542 24TH Ave
San Francisco, CA 94121-2915
Phone (415) 297-6038

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
I20110920000647 CA Practitioner - Optometry 7012188238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doris H Wong Optometric CorporationGroup PAC ID 6507095882, 5 clinicians

Practice addresses (Care Compare)

175 Market PL
San Ramon, CA 94583-4741
Phone (925) 275-0202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Doris H Wong Optometric Corporation Optometrist CurrentSince Jul 23, 2016 Accepting new patients

Locations

5580 Springdale Ave
Ste E
Pleasanton, CA 94588
Phone (925) 251-1682

175 Market Pl
San Ramon, CA 94583
Phone (925) 275-0202

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1477832574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "542 24TH AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212915",
            "telephone_number": "415-297-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MARKET PL",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834741",
            "telephone_number": "510-275-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "VICTORIA",
        "middle_name": "EUGENIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14261 TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.