Organization Active NPI

Brian Chou, O.D., Inc.

Doing business as ReVision Optometry

  • Corneal and Contact Management Optometrist
  • San Diego, CA
National Provider Identifier
1588157952
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
11119T Issued in CA
Legal business name
BRIAN CHOU, O.D., INC.
Doing business as
ReVision Optometry
Practice address
2020 Camino del Rio N Ste 109
San Diego, CA 92108-1542
Phone
(619) 299-6064
NPI assigned
Jun 11, 2018
Last updated
Jun 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Dr. Brian Chou, ODNPI 1013960996
Title
President
Phone
(858) 395-3233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 11119T CA Primary

Addresses

Primary practice location

2020 Camino del Rio N Ste 109
San Diego, CA 92108-1542

Mailing address

2020 Camino del Rio N Ste 109
San Diego, CA 92108-1542
Phone (619) 299-6064

Other names 1

  • ReVision Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180905000414 CA Part B Supplier - Clinic/Group Practice 2163772690 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory

Locations

2020 Camino del Rio N
Ste 109
San Diego, CA 92108
Phone (619) 299-6064

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1588157952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 CAMINO DEL RIO N STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081542",
            "telephone_number": "619-299-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CAMINO DEL RIO N STE 109",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081542",
            "telephone_number": "619-299-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN CHOU, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "CHOU",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-395-3233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "11119T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ReVision Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.