Organization Active NPI

Dr Michael Y Chew OD

  • Optometrist
  • San Rafael, CA
National Provider Identifier
1861659815
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9671 Issued in CA
Legal business name
DR MICHAEL Y CHEW OD
Practice address
807 D St
San Rafael, CA 94901-2813
Phone
(415) 454-3443
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Michael Y Chew, ODNPI 1093788572
Title
President
Phone
(415) 454-3443

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9671 CA Primary

Addresses

Primary practice location

807 D St
San Rafael, CA 94901-2813

Mailing address

807 D St
San Rafael, CA 94901-2813
Phone (415) 454-3443

National Provider Directory

National Provider Directory
Tax ID family
Dr Michael Y Chew OD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

807 D St
San Rafael, CA 94901
Phone (415) 454-3443

Practitioners & affiliated clinicians

Practitioners 2

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1861659815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012813",
            "telephone_number": "415-454-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012813",
            "telephone_number": "415-454-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MICHAEL Y CHEW OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "CHEW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-454-3443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.