LAURIE CHALKIN (NPI# 1679641203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679641203 |
| Entity Type | Organization |
| Organization Name | LAURIE CHALKIN |
| Other Organization Name | WILD IRIS OPTOMETRIC GROUP |
| Practice Address |
3717 Castro Valley Blvd Castro Valley CA 94546-4405 |
| Practice Telephone | 5105383937 |
| Mailing Telephone | 5105383937 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2008-07-22 |
| Authorized Official Name | MS. LAURIE RUTH CHAIKIN (OPTOMETRIST OWNER) |
| Authorized Official Telephone | 5105383937 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
7597 | CA | Eye and Vision Services Providers |
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
10195 | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SD0101950 | 05 |
| Other Name | Type Code |
|---|---|
| WILD IRIS OPTOMETRIC GROUP | Doing Business As Name - Organization |
| Street Address |
3717 CASTRO VALLEY BLVD |
| City | CASTRO VALLEY |
| State | CA |
| Zip Code | 94546-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427268895 | Suzanne Leilani Kirby | Occupational Therapist | 3717 Castro Valley Blvd, Castro Valley, CA 94546-4405 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861991234 | For Your Eyes Only Ophthalmic Medical Corp. | Optometrist | 2687 Castro Valley Blvd., Castro Valley, CA 94546 | 2018-02-12 |
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1639506215 | Jennifer Lee | Pharmacist | 20629 Redwood Road, Castro Valley, CA 94546 | 2013-09-27 |
| 1679860506 | Lauren Nicole Hill | Counselor | 20212 Redwood Rd Ste 104, Castro Valley, CA 94546 | 2011-06-29 |
| 1326330952 | Jeannette Villalobos | Counselor | 5248 Crane Avenue, Castro Valley, CA 94546 | 2011-05-16 |
| 1780992560 | Cherie Christine-vivona Clark | Physician Assistant | Eden Emergency Department, 20103 Lake Chabot Road, Castro Valley, CA 94546 | 2010-09-15 |
| 1518287218 | Rite Aid Incorporation | Community/Behavioral Health | 3548 Castro Valley Blv, Castro Valley, CA 94546 | 2010-06-03 |
| 1770719940 | Kristina Marie Sotto | Occupational Therapist | 20259 Lake Chabot Road, Castro Valley, CA 94546 | 2009-06-02 |
| 1861664203 | Bannanje R Nayak | Physical Medicine & Rehabilitation | 19830 Lake Chabot Road, Ste C, Castro Valley, CA 94546 | 2008-03-26 |
| 1205030202 | Yvonne Marie Jones | Social Worker | 2055 Fairmont Dr., San Leandro, CA 94546 | 2007-06-13 |
| Find all providers in zip 94546 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804844 | Vista Center for The Blind and Visually Impaired | Optometrist | 101 N Bascom Ave, San Jose, CA 95128-1805 | 2019-07-24 |
| 1316260052 | The Center for The Partially Sighted | Optometrist | 18425 Burbank Blvd Ste 706, Tarzana, CA 91356-6668 | 2010-03-09 |
| 1891027272 | Richard Jeffrey Shuldiner | Optometrist | 761 Payette Dr, Corona, CA 92881-8494 | 2010-02-09 |
| 1013249986 | Earle Baum Center of The Blind Inc. | Optometrist | 4539 Occidental Rd, Santa Rosa, CA 95401-5635 | 2010-02-03 |
| 1154589331 | Eden Plaza Optometry | Optometrist | 3555 Rosecrans St Ste 102, San Diego, CA 92110-3232 | 2008-05-24 |
| 1104008382 | Dana Linnea Rawlings | Optometrist | 1000 Lakes Dr Ste 180, West Covina, CA 91790-2927 | 2007-11-29 |
| 1841333192 | Lise Kim Tong | Optometrist | 958 Moraga Rd, Lafayette, CA 94549-4525 | 2007-02-15 |
| 1114064664 | Robert Bruce Greer | Optometrist | 360 Minor Hall, University of California, Berkeley, CA 94720-2020 | 2007-01-31 |
| 1669528089 | Thanh Kien Truong | Optometrist | 3443 Balboa St Ste B, San Francisco, CA 94121-2701 | 2007-01-26 |
| 1346305869 | Nina Coleen Getz | Optometrist | 301 W Huntington Dr Ste 605, Arcadia, CA 91007-1514 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
| City | CASTRO VALLEY |
| Zip Code | 94546 |
Please comment or provide details below to improve the information on LAURIE CHALKIN.
| 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.