Organization Active NPI

Chino Optometry Center

  • Optometrist
  • Chino, CA
National Provider Identifier
1639211360
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT6062TPA Issued in CA
Legal business name
CHINO OPTOMETRY CENTER
Practice address
11640 Central Ave
Chino, CA 91710-1923
Phone
(909) 627-7363
Fax
(909) 627-9854
NPI assigned
Feb 12, 2007
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Mr. John T Ju, O.D.NPI 1639214851
Title
Owner
Phone
(909) 627-7363

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 OPT6062TPA CA Primary

Addresses

Primary practice location

11640 Central Ave
Chino, CA 91710-1923

Mailing address

11640 Central Ave
Chino, CA 91710-1923
Phone (909) 627-7363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100617000217 CA Part B Supplier - Clinic/Group Practice 9133259153 Receives reassigned benefits from 5 practitioners
Practice locations: Chino, CA

National Provider Directory

National Provider Directory

Locations

11640 Central Ave
Chino, CA 91710
Phone (909) 627-7363

Practitioners & affiliated clinicians

Practitioners 7

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": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1639211360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101923",
            "telephone_number": "909-627-7363",
            "fax_number": "909-627-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 CENTRAL AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101923",
            "telephone_number": "909-627-7363",
            "fax_number": "909-627-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINO OPTOMETRY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "JU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-627-7363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT6062TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.