Individual provider Active NPI

Sara Y. Chiu, O.D.

  • Optometrist
  • Fremont, CA
National Provider Identifier
1982701595
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13149 Issued in CA
Practice address
3100 Capitol Ave
Suite a
Fremont, CA 94538-1527
Phone
(510) 791-5272
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13149 CA Primary

Addresses

Primary practice location

3100 Capitol Ave
Suite a
Fremont, CA 94538-1527

Mailing address

1099 Sioux CT
Fremont, CA 94539-6542
Phone (510) 504-8588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000520 CA Practitioner - Optometry 2567540982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iron Horse Optometric GroupGroup PAC ID 1557582079, 3 clinicians

Practice addresses (Care Compare)

7197 Village Pkwy
Suite D
Dublin, CA 94568-2411
Phone (925) 828-9511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13149CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Iron Horse Optometric Group Optometrist CurrentSince Sep 23, 2014 Accepting new patients

Locations

7197 Village Pkwy
Ste D
Dublin, CA 94568
Phone (925) 828-9511

7197 Village Pkwy
Dublin, CA 94568

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982701595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 SIOUX CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396542",
            "telephone_number": "510-504-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CAPITOL AVE",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381527",
            "telephone_number": "510-791-5272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "SARA",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.