Tony Chahine, O.D.
Individual provider Active NPI Optometrist · La Canada, CA
NPI 1902974009 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1902974009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 10577T (CA)
- Practice address
- 1419 Foothill Blvd
La Canada, CA 91011-2108 - Phone
- (818) 790-0422
- Fax
- (818) 790-0484
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tony Chahine OD Inc Apc
Practice addresses (Care Compare)
1419 Foothill Blvd
La Canada, CA 91011-2108
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100921000711 | CA | Practitioner - Optometry | 5294850756 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tony Chahine, O.D., Inc., Apc | Optometrist | Current |
Accepting new patients |
Locations
1419 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 790-0422
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 10577T | CA | |
| Optometrist | 152W00000X | 10577T | CA | Yes |
Addresses
Primary practice location
1419 Foothill Blvd
La Canada, CA 91011-2108
Mailing address
1419 Foothill Blvd
La Canada, CA 91011-2108
Phone (818) 790-0422
Other providers in La Canada, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.