NPIMap

Organization Active NPI

Dr Eunmi Chae Optometry Inc

  • Optometrist
  • Van Nuys, CA
National Provider Identifier
1881889418
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10123T Issued in CA
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
Last updated
Jan 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Authorized official

Name
Dr. Eunmi Chae, O.D.NPI 1003029505
Title
President
Phone
(213) 268-9915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

17631 Sherman Way
Van Nuys, CA 91406
Phone (818) 705-1001

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": "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": [],
    "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.

Verify at the official NPI Registry.