Allen Chung, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

33974TLG Issued in CA

Practice address

9460 Mira Mesa Blvd Ste a
San Diego, CA 92126-4870

Phone

(858) 566-1756

Fax

(858) 566-1845

NPI assigned

Jun 28, 2018

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allen Chung OD Optometric CorporationGroup PAC ID 2365879574, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: allen.chung@uprisedirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allen Chung OD Optometric Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1427695550
  Medicare reassignment Care Compare group NPD Authorized official
• Robert Gonzalez OD Inc

  • Optometrist
  • San Diego, CA
  • NPI 1346673795
  Medicare reassignment NPD
• Steven D. Satnick OD, Apc

  • Optometrist
  • San Diego, CA
  • NPI 1457641144
  NPD
• Jeffrey a Hall O D Inc

  • Optometrist
  • San Diego, CA
  • NPI 1154552560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1003301391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9460 MIRA MESA BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264870",
            "telephone_number": "858-566-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9460 MIRA MESA BLVD STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264870",
            "telephone_number": "858-566-1756",
            "fax_number": "858-566-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ALLEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33974TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Chun, PHARM.D.
• Sung in Chun
• Victor S Chun, M.D.
• Won I. Chun, M.D.
• Min S. Chung-Park, RN, NP, PHD
• Carli Jane Chung
• CHI Lee Chung
• Chloe Chung
• Christine B Chung, MD
• Christopher Haewook Chung, DOCTOR OF PHARMACY

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.