Kenji Chuang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13004 TPA Issued in CA

Practice address

350 N Santa Cruz Ave
Los Gatos, CA 95030-7243

Phone

(408) 395-3934

Fax

(408) 395-4784

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Contact Optometry

  • Optometrist
  • Los Gatos, CA
  • NPI 1093067175
  NPD Authorized official

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1730215450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N SANTA CRUZ AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307243",
            "telephone_number": "408-395-3934",
            "fax_number": "408-395-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N SANTA CRUZ AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950307243",
            "telephone_number": "408-395-3934",
            "fax_number": "408-395-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUANG",
        "first_name": "KENJI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13004 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GT909A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Todd Christopherson, PT, DPT
• George S. Christos, AUDIOLOGIST
• Abbey Chrystal
• Sana Chrystal, N.D., D.C.
• David Chuang, DPM
• Timothy Jonathan Chuang
• Mary Morrill Chuba, M.D.
• Anisha Chum
• Linda Hanna Chung, M.D.
• Witold Cichon, PT

• Optometrist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.