Active NPI
Kevin Kuo-Kang Chiu
- Optometrist
- Glendale, CA
National Provider Identifier
1699490060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35334
- Practice address
- 320 N Glendale Ave
Glendale, CA 91206-3758 - Phone
- (818) 254-1006
- NPI assigned
- Oct 7, 2022
- Last updated
- Oct 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35334 | CA | Primary |
Addresses
Primary practice location
320 N Glendale Ave
Glendale, CA 91206-3758
Mailing address
2575 Wetherby Rd
San Marino, CA 91108-1522
Phone (626) 318-8789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35334 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1699490060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 WETHERBY RD",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911081522",
"telephone_number": "626-318-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 N GLENDALE AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912063758",
"telephone_number": "818-254-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIU",
"first_name": "KEVIN",
"middle_name": "KUO-KANG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.