Organization Active NPI

Chester C Quan, OD

  • Corneal and Contact Management Optometrist
  • San Francisco, CA
National Provider Identifier
1972966513
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
7739T Issued in CA
Legal business name
CHESTER C QUAN, OD
Practice address
1551 Sloat Blvd
San Francisco, CA 94132-1222
Phone
(415) 753-5338
Fax
(415) 753-0978
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Dr. Chester Chow Quan, O.D.NPI 1336162171
Title
Owner
Phone
(415) 753-5338

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 7739T CA Primary

Addresses

Primary practice location

1551 Sloat Blvd
San Francisco, CA 94132-1222

Mailing address

1551 Sloat Blvd
San Francisco, CA 94132-1222
Phone (415) 753-5338

Other identifiers 1

IdentifierTypeStateIssuer
SD0077391MedicaidCA

Other names 1

  • Visionarium Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

1551 Sloat Blvd
San Francisco, CA 94132
Phone (415) 753-5338

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1972966513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 SLOAT BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321222",
            "telephone_number": "415-753-5338",
            "fax_number": "415-753-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 SLOAT BLVD",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321222",
            "telephone_number": "415-753-5338",
            "fax_number": "415-753-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER C QUAN, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "QUAN",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "CHOW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-753-5338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "7739T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0077391",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionarium Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.