Organization Active NPI

Aliso Optometry, Inc.

  • Optometrist
  • Aliso Viejo, CA
National Provider Identifier
1669703351
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12794 Issued in CA
Legal business name
ALISO OPTOMETRY, INC.
Practice address
2 Journey
103
Aliso Viejo, CA 92656-3332
Phone
(949) 362-3500
Fax
(949) 362-0380
NPI assigned
Jan 20, 2010
Last updated
Apr 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Dr. David Chu, O.D.NPI 1114037918
Title
Optometrist
Phone
(949) 362-3500

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
Optometrist 152W00000X 12794 CA Primary

Addresses

Primary practice location

2 Journey
103
Aliso Viejo, CA 92656-3332

Mailing address

2 Journey
103
Aliso Viejo, CA 92656-3332
Phone (949) 362-3500

Other names 1

  • David Chu, O.D. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130619000248 CA Part B Supplier - Clinic/Group Practice 5698914869 Receives reassigned benefits from 1 practitioner
Practice locations: Aliso Viejo, CA

National Provider Directory

National Provider Directory

Locations

2 Journey
Ste 103
Aliso Viejo, CA 92656
Phone (949) 362-3500

27792 Aliso Creek Rd
Ste B124
Aliso Viejo, CA 92656
Phone (949) 362-3500

Practitioners & affiliated clinicians

Practitioners 3

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": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1669703351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 JOURNEY",
            "address_2": "103",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563332",
            "telephone_number": "949-362-3500",
            "fax_number": "949-362-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 JOURNEY",
            "address_2": "103",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563332",
            "telephone_number": "949-362-3500",
            "fax_number": "949-362-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALISO OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "949-362-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Chu, O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.

Verify at the official NPI Registry.