Active NPI
Associated Chico Eye Specialists
- Ophthalmology Physician
- Chico, CA
National Provider Identifier
1952451908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A22457
- Legal business name
- ASSOCIATED CHICO EYE SPECIALISTS
- Practice address
- 85 Declaration Dr
Suite 100
Chico, CA 95973-4902 - Phone
- (530) 895-3884
- Fax
- (530) 343-3030
- NPI assigned
- Jan 11, 2007
- 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. Robert Dudley Stone, M.D.
- Title
- Owner
- Phone
- (530) 895-3884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | A22457 | CA | Primary |
Addresses
Primary practice location
85 Declaration Dr
Suite 100
Chico, CA 95973-4902
Mailing address
85 Declaration Dr
Suite 100
Chico, CA 95973-4902
Phone (530) 895-3884
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A224571 | Medicaid | CA | |
| 180021131 | Other | CA | RAILROAD MEDICARE |
| 0475230001 | Other | CA | DMERC |
Other names 1
- Chico Vision Center
National Provider Directory
National Provider DirectoryLocations
85 Declaration Dr
Ste 100
Chico, CA 95973
Phone (530) 895-3884
676 E 1st Ave
Ste 14
Chico, CA 95926
Phone (530) 895-3884
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239926400000",
"number": "1952451908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 DECLARATION DR",
"address_2": "SUITE 100",
"city": "CHICO",
"state": "CA",
"postal_code": "959734902",
"telephone_number": "530-895-3884",
"fax_number": "530-343-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 DECLARATION DR",
"address_2": "SUITE 100",
"city": "CHICO",
"state": "CA",
"postal_code": "959734902",
"telephone_number": "530-895-3884",
"fax_number": "530-343-3030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED CHICO EYE SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2009-04-17",
"status": "A",
"authorized_official_last_name": "STONE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DUDLEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-895-3884",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "CA",
"license": "A22457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A224571",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "180021131",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0475230001",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Chico Vision Center",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.