Individual provider Active NPI

Christine Minerva Choi, O.D.

  • Optometrist
  • Milpitas, CA
National Provider Identifier
1710172663
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13405 Issued in CA
Practice address
1766 N Milpitas Blvd
Milpitas, CA 95035-2713
Phone
(408) 263-6868
Fax
(408) 263-7675
NPI assigned
Sep 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13405 CA Primary

Addresses

Primary practice location

1766 N Milpitas Blvd
Milpitas, CA 95035-2713

Mailing address

1766 N Milpitas Blvd
Milpitas, CA 95035-2713
Phone (408) 263-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000514 CA Practitioner - Optometry 3072654599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

995 Montague Expy
Suite 214
Milpitas, CA 95035-6885
Phone (408) 263-6868

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13405CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Optometry, Inc. Optometrist PastSince Oct 7, 2016 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1710172663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 N MILPITAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950352713",
            "telephone_number": "408-263-6868",
            "fax_number": "408-263-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 N MILPITAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950352713",
            "telephone_number": "408-263-6868",
            "fax_number": "408-263-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CHRISTINE",
        "middle_name": "MINERVA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-12",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.