Organization Active NPI

Louis E Chesner OD Optimetric Corporation

  • Optometrist
  • San Diego, CA
National Provider Identifier
1821041302
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOUIS E CHESNER OD OPTIMETRIC CORPORATION
Practice address
2404 Madison Ave
San Diego, CA 92116
Phone
(619) 291-3836
Fax
(619) 291-4625
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Dr. Louis E. Chesner, OD
Title
President
Phone
(619) 291-3836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X CA Primary

Addresses

Primary practice location

2404 Madison Ave
San Diego, CA 92116

Mailing address

2404 Madison Ave
San Diego, CA 92116
Phone (619) 291-3836

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1821041302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 MADISON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92116",
            "telephone_number": "619-291-3836",
            "fax_number": "619-291-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 MADISON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92116",
            "telephone_number": "619-291-3836",
            "fax_number": "619-291-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS E CHESNER OD OPTIMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "CHESNER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-291-3836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.