LAURIE CHALKIN NPI 1679641203

NPI Information

  • NPI: 1679641203
  • Provider Name: LAURIE CHALKIN
  • Classification: Optometrist - 152WL0500X
  • Specialization: Low Vision Rehabilitation
  • Entity Type: Organization
  • Doing Business As: WILD IRIS OPTOMETRIC GROUP
  • Address: 3717 CASTRO VALLEY BLVD
    CASTRO VALLEY, CA
    ZIP 94546
  • Phone: (510) 538-3937

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NPI Details

LAURIE CHALKIN is a low vision rehabilitation optometrist in Castro Valley, CA. The provider is 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. LAURIE CHALKIN NPI is 1679641203. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wild Iris Optometric Group.

The provider's business location address is:

3717 CASTRO VALLEY BLVD
CASTRO VALLEY, CA
ZIP 94546-405
Phone: (510) 538-3937

The provider's authorized official is Laurie Ruth Chaikin .
The authorized official title is Optometrist Owner and has the following contact phone number (510) 538-3937.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 7/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WV0400XOptometristVision Therapy7597CALIFORNIANo
2152WL0500XOptometristLow Vision Rehabilitation10195CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SD0101950MEDICAIDCALIFORNIA
2SD0101950MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3U46607MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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