Active NPI
Bunthay Chorn OD Inc
- Optometrist
- Long Beach, CA
National Provider Identifier
1003249483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT13240TPL
- Legal business name
- BUNTHAY CHORN OD INC
- Practice address
- 5531 E Stearns St
Suite a
Long Beach, CA 90815-3125 - Phone
- (562) 596-3838
- Fax
- (562) 596-3835
- NPI assigned
- Aug 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bunthay Chorn Tan, O.D.
- Title
- President
- Phone
- (562) 355-5241
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT13240TPL | CA | Primary |
Addresses
Primary practice location
5531 E Stearns St
Suite a
Long Beach, CA 90815-3125
Mailing address
5531 E Stearns St
Suite a
Long Beach, CA 90815-3125
Phone (562) 596-3838
Other names 1
- Beach Eyecare Optometry
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5531 E Stearns St
#A
Long Beach, CA 90815
Phone (562) 596-3838
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Long Beach, CA
- NPI 1780798496
-
- Optometrist
- Long Beach, CA
- NPI 1184320335
-
- Optometrist
- San Gabriel, CA
- NPI 1467561084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392681600000",
"number": "1003249483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5531 E STEARNS ST",
"address_2": "SUITE A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908153125",
"telephone_number": "562-596-3838",
"fax_number": "562-596-3835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5531 E STEARNS ST",
"address_2": "SUITE A",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908153125",
"telephone_number": "562-596-3838",
"fax_number": "562-596-3835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUNTHAY CHORN OD INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-20",
"last_updated": "2014-02-18",
"status": "A",
"authorized_official_last_name": "TAN",
"authorized_official_first_name": "BUNTHAY",
"authorized_official_middle_name": "CHORN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "562-355-5241",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "OPT13240TPL",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beach Eyecare Optometry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.