Kathy Chriqui a Professional Optometric Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

8439T Issued in CA

Legal business name

KATHY CHRIQUI A PROFESSIONAL OPTOMETRIC CORPORATION

Practice address

19600 Plummer St Ste 300
Northridge, CA 91324-2139

Phone

(181) 888-2930

Fax

(818) 882-9300

NPI assigned

Apr 17, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Kathy Chriqui, O.D.NPI 1760468607

Title

Optometrist/President

Phone

(818) 882-9300

Specialties & licenses 1

Addresses

Other names 1

• Optometrics of Chatsworth Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Kathy Chriqui, OD

  • Optometrist
  • Northridge, CA
  • NPI 1760468607
  Medicare reassignment NPD Authorized official
• Suzan Burmayan, OD

  • Optometrist
  • San Dimas, CA
  • NPI 1619498078
  NPD (past)

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992948103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19600 PLUMMER ST STE 300",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242139",
            "telephone_number": "818-882-9300",
            "fax_number": "818-882-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19600 PLUMMER ST STE 300",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242139",
            "telephone_number": "181-888-2930",
            "fax_number": "818-882-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21507 Devonshire St",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913112937",
            "country_code": "US",
            "telephone_number": "818-882-9300",
            "fax_number": "818-882-9257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KATHY CHRIQUI A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHRIQUI",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "818-882-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8439T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometrics of Chatsworth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hamid M Kashan
• Sarai Kashani
• Val A Kask, O.D.
• Meeta Katakia
• Melissa Katherman
• Anne Katz, PT
• David Edward Katz
• Richard Katz, PT
• John Anthony Katzaroff, O.D.
• Jaspreet Kaur

• Optometrist in Northridge, CA
• Providers in Northridge, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.