SELENA CONSTANCE CHU (NPI# 1164787628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164787628 |
| Entity Type | Individual |
| Full Name | SELENA CONSTANCE CHU |
| Credential | OD |
| Practice Address |
2619 E Colorado Blvd Ste 150 Pasadena CA 91107 |
| Mailing Address |
201 S Alvarado St Ste 500 Los Angeles CA 90057-2385 |
| Practice Telephone | 6267934168 |
| Practice Fax Number | 6267936256 |
| Mailing Telephone | 2134137301 |
| Mailing Fax Number | 2134137303 |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG002662 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102733683 | 05 | |
| PA | LICENSE | OEG002662 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 855 W Foothill Blvd, Monrovia, CA 910161938 | 6263581080 | 6263580548 |
| Street Address |
2619 E COLORADO BLVD STE 150 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457321903 | Sathy Visakan Bhavan | Ophthalmology | 2619 E Colorado Blvd Ste 150, Pasadena, CA 91107-3747 | 2006-01-26 |
| 1497391932 | Talin Khachatoor Sarkissian | Optometrist | 2619 E Colorado Blvd Ste 150, Pasadena, CA 91107-3747 | 2019-11-19 |
| 1801451885 | Deborah Duan | Optometrist | 2619 E Colorado Blvd Ste 150, Pasadena, CA 91107-3747 | 2019-05-06 |
| 1619455631 | Crystal Kimiko Tom | Optometrist | 2619 E Colorado Blvd Ste 150, Pasadena, CA 91107 | 2018-08-01 |
| 1295095669 | Paymohn Mahdavi | Ophthalmology | 2619 E Colorado Blvd Ste 150, Pasadena, CA 91107-3747 | 2012-05-20 |
| 1699713099 | California Eye Specialists Medical Group, Inc | Specialist | 2619 E Colorado Blvd Ste 150, Pasadena, CA 91107 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| 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 |
|---|---|---|---|---|
| 1124668926 | Nancy Banh | Optometrist | 600 Lincoln Ave Unit 93957, Pasadena, CA 91109-5784 | 2020-01-09 |
| 1619520152 | Texas Eye Heroes | Optometrist | 132 Southmore Ave Ste A, Pasadena, TX 77502-1018 | 2019-07-23 |
| 1306310040 | Daniel Max & Marcandrea LLC | Optometrist | 310 Southmore Ave, Pasadena, TX 77502 | 2019-01-16 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1447766001 | Pasadena Eye Care, LLC | Optometrist | 33 Magothy Beach Rd Ste 104, Pasadena, MD 21122-4467 | 2017-12-19 |
| 1104331305 | Elizabeth Louise Wright | Optometrist | 2700 E Foothill Blvd Ste 207, Pasadena, CA 91107-7111 | 2017-12-10 |
| 1942652912 | Pooneh Vafaee | Optometrist | 1002 Southmore Ave, Pasadena, TX 77502-1202 | 2016-07-01 |
| 1457778912 | Faydim Rassamdana | Optometrist | 1250 Riviera Dr, Pasadena, CA 91107-1632 | 2014-03-23 |
| 1568766947 | Elda Mehrabyan | Optometrist | 155 Cordova St, Suite 168, Pasadena, CA 91105-2727 | 2010-12-29 |
| 1578791687 | Raul Quintanilla | Optometrist | 2777 Shaver St, Pasadena, TX 77502-4625 | 2009-06-26 |
| Find all providers in PASADENA | ||||
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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.