Individual provider Active NPI

Shirley Chio, O.D.

  • Optometrist
  • Ventura, CA
National Provider Identifier
1871960021
Registry record updated Nov 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
15297 Issued in CA
Practice address
1280 S Victoria Ave #100
Ventura, CA 93003
Phone
(562) 281-7459
NPI assigned
Aug 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 15297 CA Primary

Addresses

Primary practice location

1280 S Victoria Ave #100
Ventura, CA 93003

Mailing address

1280 S Victoria Ave #100
Ventura, CA 93003
Phone (562) 281-7459

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
I20160512001542 CA Practitioner - Optometry 7315236411 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Markman and Wolstan a Medical GroupGroup PAC ID 2365722345, 6 clinicians

Practice addresses (Care Compare)

23600 Telo Ave
Suite 100
Torrance, CA 90505-4036
Phone (310) 543-2611

3838 W Carson St
Suite 105
Torrance, CA 90503-6703
Phone (310) 543-4546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Markman & Wolstan, a Medical Group CurrentSince Nov 9, 2022 Accepting new patients
Golden San Gabriel Optometric Vision Center Optometrist CurrentSince May 1, 2016 Accepting new patients
Total Vision PC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Wolstan & Goldberg Eye Associates Inc a Medical Corporaton CurrentSince Oct 14, 2025 Accepting new patients
Wolstan & Goldberg Eye Associates Inc., a Medical Corporaton CurrentSince Oct 14, 2025 Accepting new patients

Locations

140 W Valley Blvd
Ste 115
San Gabriel, CA 91776
Phone (626) 288-8023

3838 W Carson St
Ste 105
Torrance, CA 90503
Phone (310) 543-4546

23600 Telo Ave
Ste 100
Torrance, CA 90505
Phone (310) 543-2611

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448755200000",
    "number": "1871960021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE #100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "562-281-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 S VICTORIA AVE #100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93003",
            "telephone_number": "562-281-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIO",
        "first_name": "SHIRLEY",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.