Dr. Connie Choi Family Optometry

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

Legal business name

DR. CONNIE CHOI FAMILY OPTOMETRY

Practice address

30600 Dyer St
Union City, CA 94587-1717

Phone

(510) 441-7403

Fax

(510) 324-8591

NPI assigned

Jan 15, 2019

Last updated

Jan 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie Shinae Choi, ODNPI 1104977693

Title

Owner/Optometrist

Phone

(510) 441-7403

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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.

• Connie Choi, O.D.

  • Optometrist
  • Union City, CA
  • NPI 1104977693
  NPD Authorized official

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1720552599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 DYER ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871717",
            "telephone_number": "510-441-7403",
            "fax_number": "510-324-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 DYER ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945871717",
            "telephone_number": "510-441-7403",
            "fax_number": "510-324-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CONNIE CHOI FAMILY OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "SHINAE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "510-441-7403",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "12903TPA",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1104977693",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aniyah Domino
• Georgina Dorkin, FNP
• Scott Dorrance
• Dr Mason Lang OD Inc (Open Eye Optometry)
• Dr. Angela Wong, Inc (Family Vision Care Optometrics)
• Asuncion Tecson Drainer, PA
• Devon Drake
• Jiangyan Du, PHARMD
• Denise Mary Dugas, M.F.T.
• Cressida Dumalag

• Vision Therapy Optometrist in Union City, CA
• Providers in Union City, CA by specialty
• Vision Therapy Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.