Corinne Chu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

IL9459 Issued in IL

Practice address

7200 Harrison Ave
U265 Cherryvale Mall
Rockford, IL 61112-1017

Phone

(815) 332-2223

Fax

(815) 332-4488

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vincent Facchiano and Associates

  • Optometrist
  • Rockford, IL
  • NPI 1407044704
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720003767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6728 APPELL LN",
            "city": "CHERRY VALLEY",
            "state": "IL",
            "postal_code": "610169141",
            "telephone_number": "815-332-2223",
            "fax_number": "815-332-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 HARRISON AVE",
            "address_2": "U265 CHERRYVALE MALL",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121017",
            "telephone_number": "815-332-2223",
            "fax_number": "815-332-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "CORINNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "IL9459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingshuk Robin Chowdhury, M.D.
• Paul Mark Christensen, M.D.
• Sarah Christensen, RDN, LDN
• Beth A Christiansen, APN
• Christopher Greenwaldt, DMD, P.C.
• Thomas Tonghon Chung, D.D.S.
• Jeanne Marie Chupich, APN
• Frederick William Church, M.D.
• Sierra Cichon, MS CCC-SLP
• Tubanur Ciftci

• All providers in Rockford, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.