Organization Active NPI

Lin Yuan Chiao O.D. Professional Corporation

  • Optometrist
  • Temple City, CA
National Provider Identifier
1992064430
Registry record updated Jan 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11867T Issued in CA
Legal business name
LIN YUAN CHIAO O.D. PROFESSIONAL CORPORATION
Practice address
5810 Temple City Blvd
Temple City, CA 91780-2112
Phone
(626) 287-9725
NPI assigned
May 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2013

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

Authorized official

Name
Dr. Lin ChiaoNPI 1952493405
Title
Ceo
Phone
(626) 287-9725

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11867T CA Primary

Addresses

Primary practice location

5810 Temple City Blvd
Temple City, CA 91780-2112

Mailing address

5810 Temple City Blvd
Temple City, CA 91780-2112
Phone (626) 287-9725

Other names 1

  • Bright iCare Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120511000439 CA Part B Supplier - Clinic/Group Practice 4981867801 Receives reassigned benefits from 1 practitioner
Practice locations: Temple City, CA

National Provider Directory

National Provider Directory

Locations

5810 Temple City Blvd
Temple City, CA 91780
Phone (626) 287-9725

9241 Las Tunas Dr
Temple City, CA 91780
Phone (626) 309-0035

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": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359244800000",
    "number": "1992064430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5810 TEMPLE CITY BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802112",
            "telephone_number": "626-287-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5810 TEMPLE CITY BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802112",
            "telephone_number": "626-287-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIN YUAN CHIAO O.D. PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2013-01-27",
        "status": "A",
        "authorized_official_last_name": "CHIAO",
        "authorized_official_first_name": "LIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-287-9725",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11867T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright iCare Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.