Active NPI
Fremont Optometric Group
- Optometrist
- Fremont, CA
National Provider Identifier
1619991080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4655T
- Legal business name
- FREMONT OPTOMETRIC GROUP
- Practice address
- 39355 California St
Suite 103
Fremont, CA 94538-1447 - Phone
- (510) 744-2010
- Fax
- (510) 744-2015
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Debora D Chew, O.D
- Title
- Optometrist/Owner
- Phone
- (510) 744-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4655T | CA | Primary |
Addresses
Primary practice location
39355 California St
Suite 103
Fremont, CA 94538-1447
Mailing address
39355 California St
Suite 103
Fremont, CA 94538-1447
Phone (510) 744-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
39355 California St
Ste 103
Fremont, CA 94538
Phone (510) 744-2010
Practitioners & affiliated clinicians
Practitioners 11
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.
-
- Optometrist
- Fremont, CA
- NPI 1902813322
-
- Optometrist
- San Jose, CA
- NPI 1841675048
-
- Optometrist
- Fremont, CA
- NPI 1851585624
-
- Optometrist
- Fremont, CA
- NPI 1699734715
-
- Optometrist
- Mountain View, CA
- NPI 1740701796
-
- Optometrist
- San Mateo, CA
- NPI 1619106903
-
- Optometrist
- Fremont, CA
- NPI 1972562098
-
- Optometrist
- Pleasanton, CA
- NPI 1922048537
-
- Optometrist
- El Cerrito, CA
- NPI 1205989050
-
- Optometrist
- Fremont, CA
- NPI 1457320921
-
- Optometrist
- Fremont, CA
- NPI 1992765341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467763200000",
"number": "1619991080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39355 CALIFORNIA ST",
"address_2": "SUITE 103",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381447",
"telephone_number": "510-744-2010",
"fax_number": "510-744-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39355 CALIFORNIA ST",
"address_2": "SUITE 103",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381447",
"telephone_number": "510-744-2010",
"fax_number": "510-744-2015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREMONT OPTOMETRIC GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2016-07-06",
"status": "A",
"authorized_official_last_name": "CHEW",
"authorized_official_first_name": "DEBORA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "510-744-2010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "4655T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
- Fremont Hearing Aid Center
- Fremont Internal Medicine Medical Associates,Inc
- Fremont Medical Group, Inc.
- Fremont Nephrology Prof Corp
- Fremont Neurology Medical Associates Inc a Prof Medical Corp
- Fremont Optometric Vision Care Center
- Fremont Oral & Maxillofacial Surgery
- Fremont Orthopaedic Medical Group, Apc
- Fremont Pain Treamtment Center
- Fremont Pediatric Med GRP Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.