Provider Demographics
NPI:1508811431
Name:STEVEN J. CHIANA, O.D. INC.
Entity Type:Organization
Organization Name:STEVEN J. CHIANA, O.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:CHIANA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-879-2020
Mailing Address - Street 1:1839 W ORANGETHORPE AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-4405
Mailing Address - Country:US
Mailing Address - Phone:714-879-2020
Mailing Address - Fax:714-525-7138
Practice Address - Street 1:1839 W ORANGETHORPE AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92833-4405
Practice Address - Country:US
Practice Address - Phone:714-879-2020
Practice Address - Fax:714-525-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT8181152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD081810Medicaid
CAT96662Medicare UPIN
CAOP8181Medicare PIN