Chino Optometry Center

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

Organization subpart

No

Name

Mr. John T Ju, O.D.NPI 1639214851

Title

Owner

Phone

(909) 627-7363

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

• John T Ju, OD

  • Optometrist
  • Monterey Park, CA
  • NPI 1639214851

  CA, Optometrist

  Medicare reassignment NPD Authorized official
• Brian Rex Alcalde, O.D.

  • Optometrist
  • La Puente, CA
  • NPI 1013035443

  CA, Optometrist

  Medicare reassignment NPD
• Andrew G Chong, O.D.

  • Optometrist
  • La Puente, CA
  • NPI 1073676029

  CA, Optometrist

  Medicare reassignment NPD
• Anh Kim Hinh, OD

  • Optometrist
  • Chino, CA
  • NPI 1457317091

  CA, Optometrist

  Medicare reassignment NPD
• Lawrence Morris, O.D.

  • Optometrist
  • Chino, CA
  • NPI 1205978848

  CA, Optometrist

  Medicare reassignment NPD
• Alicia Zhang, OD

  • Optometrist
  • Chino, CA
  • NPI 1336877646
  NPD
• Peter Koh, OD

  • Optometrist
  • Beverly Hills, CA
  • NPI 1861488843
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 28, 2013.

{
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0020470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chino Emergency Medical Associates
• Chino Emergency Medical Associates, Inc.
• Chino Family Optometry Inc
• Chino Medical Group, Inc
• Chino Medical Group, Inc
• Chino Pediatrics Medical Clinic, Inc.
• Chino Physical Therapy Inc.
• Chino Premier Surgery Center Limited Partnership
• Chino Spectrum Optometry PC
• Chino Stone & Surgery Center

• All providers in Chino, CA
• Optometrist in California

• 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.