Active NPI
Dr Eunmi Chae Optometry Inc
- Optometrist
- Van Nuys, CA
National Provider Identifier
1881889418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10123T
- Legal business name
- DR EUNMI CHAE OPTOMETRY INC
- Practice address
- 17631 Sherman Way
Van Nuys, CA 91406-3510 - Phone
- (818) 705-1001
- Fax
- (818) 609-0126
- NPI assigned
- Sep 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eunmi Chae, O.D.
- Title
- President
- Phone
- (213) 268-9915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10123T | CA | Primary |
Addresses
Primary practice location
17631 Sherman Way
Van Nuys, CA 91406-3510
Mailing address
17631 Sherman Way
Van Nuys, CA 91406-3510
Phone (213) 268-9915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003029505 | Other | CA | INDIVIDUAL NPI NUMBER |
National Provider Directory
National Provider DirectoryLocations
17631 Sherman Way
Van Nuys, CA 91406
Phone (818) 705-1001
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Los Angeles, CA
- NPI 1235335878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232668800000",
"number": "1881889418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17631 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063510",
"telephone_number": "213-268-9915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17631 SHERMAN WAY",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914063510",
"telephone_number": "818-705-1001",
"fax_number": "818-609-0126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR EUNMI CHAE OPTOMETRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-06",
"last_updated": "2009-01-23",
"status": "A",
"authorized_official_last_name": "CHAE",
"authorized_official_first_name": "EUNMI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-268-9915",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "10123T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI NUMBER",
"identifier": "1003029505",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.