Individual provider Active NPI

Rupert C Chowins, O.D.

  • Optometrist
  • San Luis Obispo, CA
National Provider Identifier
1750368304
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8693T Issued in CA
Practice address
3855 Broad Street
San Luis Obispo, CA 93401
Phone
(805) 545-8100
Fax
(805) 548-8785
NPI assigned
Dec 26, 2005
Last updated
Mar 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8693T CA Primary

Addresses

Primary practice location

3855 Broad Street
San Luis Obispo, CA 93401

Mailing address

PO Box 5357
San Luis Obispo, CA 93403-5357
Phone (805) 545-8100

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
I20051220000638 CA Practitioner - Optometry 5496658015 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8693TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wells and Hile OD an Optometric Corporation Optometrist CurrentSince Dec 1, 2018 Accepting new patients
San Luis Obispo Eye Associates, a Medical Group Inc Optometrist Current Accepting new patients
Bream Optometry, Inc. Optometrist CurrentSince Jan 9, 2021 Accepting new patients
San Luis Obispo Eye Associates, a Medical Group Incorporated Optometrist CurrentSince Jan 13, 2020 Accepting new patients
Frame Factory Optical Past Accepting new patients
Eye Care for You Optometrist Past Accepting new patients
Lakeside Eyecare Optometrist Past Accepting new patients
Pacific Eye Surgeons, a California Professional Medical Corporation PastSince Nov 8, 2020 Accepting new patients

Locations

8105 Morro Rd
Ste A
Atascadero, CA 93422
Phone (805) 466-6939

7095 Market Place Dr
Santa Barbara, CA 93117
Phone (805) 562-1300

910 E Stowell Rd
Santa Maria, CA 93454
Phone (805) 925-2637

689 Tank Farm Rd
Ste 100
Sn Luis Obisp, CA 93401
Phone (805) 781-3637

234 Heather Ct
Ste 102
Templeton, CA 93465
Phone (805) 434-5970

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1750368304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5357",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934035357",
            "telephone_number": "805-545-8100",
            "fax_number": "805-545-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 BROAD STREET",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-545-8100",
            "fax_number": "805-548-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOWINS",
        "first_name": "RUPERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-26",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8693T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.