NPIMap

Organization Active NPI

Tony Chahine, O.D., Inc., Apc

Doing business as La Canada Eye Care Optometry

  • Optometrist
  • La Canada, CA
National Provider Identifier
1902974017
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10577T Issued in CA
Legal business name
TONY CHAHINE, O.D., INC., APC
Doing business as
La Canada Eye Care Optometry
Practice address
1419 Foothill Blvd
La Canada, CA 91011-2108
Phone
(818) 790-0422
Fax
(818) 790-0484
NPI assigned
Nov 30, 2006
Last updated
Aug 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Dr. Tony Chahine, O.D.NPI 1902974009
Title
President
Phone
(818) 790-0422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10577T CA Primary
Corneal and Contact Management Optometrist 152WC0802X 10577T CA

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 names 1

  • La Canada Eye Care Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921000639 CA Part B Supplier - Clinic/Group Practice 5799800249 Receives reassigned benefits from 3 practitioners
Practice locations: La Canada, CA

National Provider Directory

National Provider Directory

Locations

1419 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 790-0422

Practitioners & affiliated clinicians

Practitioners 3

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": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1902974017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112108",
            "telephone_number": "818-790-0422",
            "fax_number": "818-790-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 FOOTHILL BLVD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112108",
            "telephone_number": "818-790-0422",
            "fax_number": "818-790-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY CHAHINE, O.D., INC., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "CHAHINE",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-790-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10577T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "10577T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Canada Eye Care Optometry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "La Canada Eye Care Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.