Organization Active NPI

Jeremy Chin, O.D.

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1700251485
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15287 Issued in CA
Legal business name
JEREMY CHIN, O.D.
Practice address
530 Showers Dr
Mountain View, CA 94040-4740
Phone
(650) 917-2318
NPI assigned
Dec 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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

Authorized official

Name
Jeremy M Chin, O.D.
Title
Owner
Phone
(510) 299-6162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 15287 CA Primary

Addresses

Primary practice location

530 Showers Dr
Mountain View, CA 94040-4740

Mailing address

530 Showers Dr
Mountain View, CA 94040-4740
Phone (650) 917-2318

National Provider Directory

National Provider Directory

Locations

530 Showers Dr
Mountain View, CA 94040
Phone (650) 917-2318

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1700251485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 SHOWERS DR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404740",
            "telephone_number": "650-917-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 SHOWERS DR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404740",
            "telephone_number": "650-917-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY CHIN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-299-6162",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.