Organization Active NPI

Palo Alto Vision Optometry Inc

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1902227549
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5643T Issued in CA
Legal business name
PALO ALTO VISION OPTOMETRY INC
Practice address
109 S California Ave
D101
Palo Alto, CA 94306-1926
Phone
(650) 322-6656
NPI assigned
Dec 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Dr. Lawrence Y Chin, OD
Title
Ceo
Phone
(650) 322-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5643T CA Primary

Addresses

Primary practice location

109 S California Ave
D101
Palo Alto, CA 94306-1926

Mailing address

109 S California Ave
D101
Palo Alto, CA 94306-1926
Phone (650) 322-6656

Other identifiers 2

IdentifierTypeStateIssuer
1871554113OtherCANPI
1437591500OtherCANPI

National Provider Directory

National Provider Directory

Locations

109 California Ave
#D101
Palo Alto, CA 94306
Phone (650) 322-6656

Practitioners & affiliated clinicians

Practitioners 3

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": "1388188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1902227549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S CALIFORNIA AVE",
            "address_2": "D101",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061926",
            "telephone_number": "650-322-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S CALIFORNIA AVE",
            "address_2": "D101",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061926",
            "telephone_number": "650-322-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALO ALTO VISION OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-28",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "650-322-6656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5643T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871554113",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437591500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.