Active NPI
Kenneth F Chu, OD
- Optometrist
- Redondo Beach, CA
National Provider Identifier
1811033285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9894T
- Practice address
- 915 S Catalina Ave Ste C
Redondo Beach, CA 90277-4795 - Phone
- (310) 372-5213
- NPI assigned
- Jan 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9894T | CA | Primary |
Addresses
Primary practice location
915 S Catalina Ave Ste C
Redondo Beach, CA 90277-4795
Mailing address
915 S Catalina Ave Ste C
Redondo Beach, CA 90277-4795
Phone (310) 372-5213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionary Optometry Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Hermosa Beach, CA
- NPI 1902815194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465603200000",
"number": "1811033285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 S CATALINA AVE STE C",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774795",
"telephone_number": "310-372-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 S CATALINA AVE STE C",
"city": "REDONDO BEACH",
"state": "CA",
"postal_code": "902774795",
"telephone_number": "310-372-5213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "KENNETH",
"middle_name": "F",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2016-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9894T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redondo Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.