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NPI 1881779098

NPI 1881779098 : CHINO FAMILY OPTOMETRY INC : CHINO, CA

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General NPI Number Information
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    NPI Number           |    1881779098
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHINO FAMILY OPTOMETRY INC 
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Dates
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    Enumeration Date     |    10/26/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    13788 ROSWELL AVE #106
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    City                 |    CHINO
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    State                |    CA
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    Zip                  |    91710-1400
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    Country              |    US
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    Telephone            |    626-353-4521
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13788 ROSWELL AVE #106
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    City                 |    CHINO
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    State                |    CA
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    Zip                  |    91710-1400
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    Country              |    US
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    Telephone            |    626-353-4521
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT CEO
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    Name                 |    DR. REX L.C. CHU 
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    Credential           |    OD
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    Telephone            |    626-353-4521
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OPT11120TPA
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    OPT 11120TPA
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    152WL0500X
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    Taxonomy Name        |    Low Vision Rehabilitation Optometrist
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    License Number       |    OPT 11120TPA
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    152WP0200X
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    Taxonomy Name        |    Pediatric Optometrist
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    License Number       |    OPT 11120TPA
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    License Number State |    CA
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Taxonomy #5
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    Taxonomy Code        |    152WS0006X
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    Taxonomy Name        |    Sports Vision Optometrist
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    License Number       |    OPT 11120TPA
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    License Number State |    CA
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Taxonomy #6
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    Taxonomy Code        |    152WV0400X
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    Taxonomy Name        |    Vision Therapy Optometrist
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    License Number       |    OPT 11120TPA
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    License Number State |    CA
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Taxonomy #7
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    Taxonomy Code        |    152WX0102X
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    Taxonomy Name        |    Occupational Vision Optometrist
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    License Number       |    OPT 11120TPA
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    License Number State |    CA
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