Provider Demographics
NPI:1770008468
Name:TINA C. CHIOU, O.D., INC.
Entity Type:Organization
Organization Name:TINA C. CHIOU, O.D., INC.
Other - Org Name:CLARITY ADVANCED OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIOU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:530-220-3821
Mailing Address - Street 1:PO BOX 80572
Mailing Address - Street 2:
Mailing Address - City:SAN MARINO
Mailing Address - State:CA
Mailing Address - Zip Code:91118-8572
Mailing Address - Country:US
Mailing Address - Phone:530-220-3821
Mailing Address - Fax:
Practice Address - Street 1:400 S BALDWIN AVE STE 116
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-1903
Practice Address - Country:US
Practice Address - Phone:626-445-2717
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-03
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14294TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty