Active NPI
Palo Alto Vision Optometry Inc
- Optometrist
- Palo Alto, CA
National Provider Identifier
1902227549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5643T
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871554113 | Other | CA | NPI |
| 1437591500 | Other | CA | NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Palo Alto, CA
- NPI 1588389787
-
- Optometrist
- Palo Alto, CA
- NPI 1225879265
-
- Optometrist
- Sunnyvale, CA
- NPI 1093452377
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.