Organization Active NPI

Chinone Optometry Corporation

  • Optometrist
  • Concord, CA
National Provider Identifier
1619712296
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHINONE OPTOMETRY CORPORATION
Doing business as
Chinone Optometry
Practice address
169 Sun Valley Mall
Concord, CA 94520-5804
Phone
(925) 682-8885
NPI assigned
Jun 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Jolyn Chinone, ODNPI 1275898215
Title
Owner
Phone
(408) 772-6883

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

169 Sun Valley Mall
Concord, CA 94520-5804

Mailing address

169 Sun Valley Mall
Concord, CA 94520-5804
Phone (925) 682-8885

Other practice location 1

53 Colma Blvd
Colma, CA 94014-3231
Phone (650) 992-1800

Other names 1

  • Chinone Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260320001379 CA Part B Supplier - Clinic/Group Practice 2567946288 Receives reassigned benefits from 1 practitioner
Practice locations: Concord, CA

National Provider Directory

National Provider Directory

Locations

53 Colma Blvd
Colma, CA 94014
Phone (650) 992-1800

169 Sun Valley Mall
Concord, CA 94520
Phone (925) 682-8884

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1619712296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 SUN VALLEY MALL",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205804",
            "telephone_number": "925-682-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 SUN VALLEY MALL",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205804",
            "telephone_number": "925-682-8885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Colma Blvd",
            "address_purpose": "LOCATION",
            "city": "Colma",
            "state": "CA",
            "postal_code": "940143231",
            "country_code": "US",
            "telephone_number": "650-992-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHINONE OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "CHINONE",
        "authorized_official_first_name": "JOLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-772-6883",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chinone Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.