MEDICARE: DR. CHAU TRI NAKADA O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	11259T	CA

General Provider Information

NPI Number	:	1902918246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAU TRI NAKADA O.D.

Provider Business Mailing Address
First Line	:	13427 INGLEWOOD AVE
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-5608
Country	:	US
Telephone Number	:	310-676-2020
Fax Number	:	310-676-2645

Provider Business Practice Location Address
First Line	:	13427 INGLEWOOD AVE
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-5608
Country	:	US
Telephone Number	:	310-676-2020
Fax Number	:	310-676-2645

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/16/2026

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