Individual provider Active NPI

Ming See Chin Chu, OD

  • Optometrist
  • Santee, CA
National Provider Identifier
1942313473
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12281T Issued in CA
Practice address
170 Town Center Pkwy
Optometrist's Office Inside Wal-Mart
Santee, CA 92071-5801
Phone
(619) 596-0589
Fax
(619) 596-0590
NPI assigned
Aug 17, 2006
Last updated
Apr 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12281T CA Primary

Addresses

Primary practice location

170 Town Center Pkwy
Optometrist's Office Inside Wal-Mart
Santee, CA 92071-5801

Mailing address

170 Town Center Pkwy
Optometrist's Office Inside Walmart
Santee, CA 92071-5801
Phone (619) 596-0589

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12281TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley W Greider MD Inc Optometrist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364947200000",
    "number": "1942313473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 TOWN CENTER PKWY",
            "address_2": "OPTOMETRIST'S OFFICE INSIDE WALMART",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715801",
            "telephone_number": "619-596-0589",
            "fax_number": "619-596-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 TOWN CENTER PKWY",
            "address_2": "OPTOMETRIST'S OFFICE INSIDE WAL-MART",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920715801",
            "telephone_number": "619-596-0589",
            "fax_number": "619-596-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "MING",
        "middle_name": "SEE CHIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2013-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12281T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.