Organization Active NPI

Associated Chico Eye Specialists

  • Ophthalmology Physician
  • Chico, CA
National Provider Identifier
1952451908
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A22457 Issued in CA
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
Last updated
Apr 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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.NPI 1306959499
Title
Owner
Phone
(530) 895-3884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0475230001OtherCADMERC
00A224571MedicaidCA
180021131OtherCARAILROAD MEDICARE

Other names 1

  • Chico Vision Center Other name

National Provider Directory

National Provider Directory

Locations

676 E 1st Ave
Ste 14
Chico, CA 95926
Phone (530) 895-3884

85 Declaration Dr
Ste 100
Chico, CA 95973
Phone (530) 895-3884

Practitioners & affiliated clinicians

Practitioners 1

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": "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": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A22457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0475230001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A224571",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180021131",
            "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.

Verify at the official NPI Registry.