Active NPI
Dennis Cheng, OD
- Optometrist
- West Covina, CA
National Provider Identifier
1497817886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT9221
- Practice address
- 2707 E Valley Blvd
#117
West Covina, CA 91792-3195 - Phone
- (626) 839-1800
- Fax
- (626) 839-1802
- NPI assigned
- Dec 14, 2006
- Last updated
- Oct 17, 2011
- Sex
- Male
- 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 | OPT9221 | CA | Primary |
Addresses
Primary practice location
2707 E Valley Blvd
#117
West Covina, CA 91792-3195
Mailing address
2707 E Valley Blvd
#117
West Covina, CA 91792-3195
Phone (626) 839-1800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6227 | Other | CA | VSP |
| 49153 | Other | CA | SAFEGUARD |
| SD0092211 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120125000478 | CA | Practitioner - Optometry | 9234306663 | Practice locations: West Covina, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2707 E Valley Blvd
Suite 117
West Covina, CA 91792-3196
Phone (626) 839-1800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT9221 | CA | MD | Optometrist |
| 9221 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dennis Cheng OD | Optometrist | Current | Accepting new patients |
Locations
2707 E Valley Blvd
Ste 117
West Covina, CA 91792
Phone (626) 839-1800
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": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1497817886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2707 E VALLEY BLVD",
"address_2": "#117",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917923195",
"telephone_number": "626-839-1800",
"fax_number": "626-839-1802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 E VALLEY BLVD",
"address_2": "#117",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917923195",
"telephone_number": "626-839-1800",
"fax_number": "626-839-1802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHENG",
"first_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT9221",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VSP",
"identifier": "6227",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAFEGUARD",
"identifier": "49153",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0092211",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.