Individual provider Active NPI

Carla Yee Chiu, O.D.

  • Optometrist
  • Irvine, CA
National Provider Identifier
1578914578
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33441 Issued in CA
Practice address
250 E Yale Loop Ste G
Irvine, CA 92604
Phone
(949) 333-7504
NPI assigned
Jun 30, 2016
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33441 CA Primary

Addresses

Primary practice location

250 E Yale Loop Ste G
Irvine, CA 92604

Mailing address

225 Magnet
Irvine, CA 92618-0879
Phone (626) 688-8322

Other practice location 1

136 Stanford Ct
Irvine, CA 92612-1632
Phone (626) 688-8322

Other practice location 2

136 Stanford Ct
Irvine, CA 92612-1632
Phone (626) 688-8322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33441CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Justin Wong OD an Optometric Corporation 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": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1578914578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAGNET",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926180879",
            "telephone_number": "626-688-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E YALE LOOP STE G",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92604",
            "telephone_number": "949-333-7504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Stanford Ct",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926121632",
            "country_code": "US",
            "telephone_number": "626-688-8322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Stanford Ct",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926121632",
            "country_code": "US",
            "telephone_number": "626-688-8322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIU",
        "first_name": "CARLA",
        "middle_name": "YEE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.