Organization Active NPI

Aloha Family Optometry Inc

  • Optometrist
  • Placentia, CA
National Provider Identifier
1841612959
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10716T Issued in CA
Legal business name
ALOHA FAMILY OPTOMETRY INC
Practice address
1874 N Placentia Ave
Placentia, CA 92870-2303
Phone
(714) 996-3937
NPI assigned
Jan 8, 2014
Last updated
Aug 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Dr. Jennie W Chun, O.D.NPI 1558392985
Title
Owner
Phone
(714) 996-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10716T CA Primary
Optometrist 152W00000X 10681T CA

Addresses

Primary practice location

1874 N Placentia Ave
Placentia, CA 92870-2303

Mailing address

1874 N Placentia Ave
Placentia, CA 92870-2303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140707001110 CA Part B Supplier - Clinic/Group Practice 2466677422 Receives reassigned benefits from 2 practitioners
Practice locations: Placentia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1841612959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 N PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 N PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702303",
            "telephone_number": "714-996-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOHA FAMILY OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-996-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10716T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10681T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.