JONATHAN CHAN (NPI# 1093123721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093123721 |
| Entity Type | Individual |
| Full Name | JONATHAN CHAN |
| Credential | O.D. |
| Practice Address |
2615 Tuscany St Corona CA 92881-4631 |
| Mailing Address |
18717 Stefani Ave Cerritos CA 90703-8438 |
| Practice Telephone | 9512683036 |
| Practice Fax Number | 9517352864 |
| Mailing Telephone | 5625378687 |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 14864TLG | CA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 477 E Colorado Blvd, Pasadena, CA 911012024 | 6267961191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831985 | Jonathan R Chan | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 301, Colton, CA 92324-1819 | 2020-05-01 |
| 1750923595 | Jonathan Chan | Pharmacist | 7974 Haven Ave Ste 120, Rancho Cucamonga, CA 91730-3052 | 2019-10-14 |
| 1144351685 | Jonathan Karl Chan | Dentist | 935 Roseville Parkway, #120, Roseville, CA 95678 | 2007-03-08 |
| 1699383570 | Jonathan Chan | Physical Therapist | 14221 Euclid St Ste F, Garden Grove, CA 92843-4991 | 2020-07-16 |
| 1457917569 | Jonathan Chan | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2019-05-14 |
| 1578126975 | Jonathan Chan | Student in an Organized Health Care Education/Training Program | 967 N Broadway, Yonkers, NY 10701-1301 | 2019-04-21 |
| 1538666128 | Jonathan Chan | Physical Medicine & Rehabilitation | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2018-04-10 |
| 1407248552 | Jonathan Richard Chan | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2015-02-26 |
| 1982016929 | Jonathan James Wanglun Chan | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2014-05-26 |
| 1952733412 | Jonathan Steven Chan | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2013-08-06 |
| Street Address |
2615 TUSCANY ST |
| City | CORONA |
| State | CA |
| Zip Code | 92881-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558383158 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 2615 Tuscany St, Corona, CA 92881-4631 | 2006-07-24 |
| 1386286193 | Jonathan Chan O.d. Inc | Optometrist | 2615 Tuscany St, Corona, CA 92881 | 2019-10-14 |
| 1326414897 | Fern-ann Seno | Pharmacist | 2615 Tuscany St, Target Store 2615 Pharmacy Dept, Corona, CA 92881 | 2015-08-19 |
| 1205212818 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2615 Tuscany St, Corona, CA 92881-4631 | 2015-08-05 |
| 1912274143 | Le My Ho | Pharmacist | 2615 Tuscany St, Corona, CA 92881-4631 | 2011-11-16 |
| 1174800718 | Abel Cachola | Pharmacist | 2615 Tuscany St, Corona, CA 92881-4631 | 2011-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087544 | Inland Eye Specialists, A Medical Corporation | Optometrist | 1810 Fullerton Ave Ste 206, Corona, CA 92881-3110 | 2020-03-09 |
| 1245725779 | Bracha Namdar | Optometrist | 103-06 Roosevelt Ave, Corona, NY 11368 | 2018-06-27 |
| 1578019220 | Rheeza Oriel | Optometrist | 7056 Archibald St Ste 107, Corona, CA 92880 | 2016-08-31 |
| 1588079404 | Trina Patel | Optometrist | 917 Mangrove Cir, Corona, CA 92881-8697 | 2014-06-30 |
| 1528481546 | Dina Ibrahim | Optometrist | 1165 Lavendar Way, Corona, CA 92882-7332 | 2014-01-27 |
| 1760817191 | Corona Optometry PC | Optometrist | 3781 Junction Blvd, Corona, NY 11368-1740 | 2013-09-04 |
| 1336373745 | E and D Optical Inc. | Optometrist | 5822 99th St, Corona, NY 11368-4306 | 2009-05-13 |
| 1295993103 | Corona Valley Optometry Inc | Optometrist | 7056 Archibald Avenue, Ste 107, Corona, CA 92880-8714 | 2008-05-28 |
| 1336321728 | Corona Optometry, PC | Optometrist | 103-06 Roosevelt Avenue, Corona, NY 11368 | 2007-11-28 |
| 1396945408 | Jason Lam | Optometrist | 2620 Tuscany St, Suite 103, Corona, CA 92881-4646 | 2007-07-18 |
| Find all providers in CORONA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.