Organization Active NPI

Look Store

  • Optometrist
  • Wheaton, MD
National Provider Identifier
1043763667
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2316 Issued in MD
Legal business name
LOOK STORE
Practice address
11160 Veirs Mill Rd
Target Optical
Wheaton, MD 20902-2538
Phone
(352) 562-4087
NPI assigned
Jul 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Authorized official

Name
Dr. Chun Auyeung, O.D.
Title
Optometrist
Phone
(352) 562-4087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X TA2316 MD Primary

Addresses

Primary practice location

11160 Veirs Mill Rd
Target Optical
Wheaton, MD 20902-2538

Mailing address

16800 Centerfield Way
Olney, MD 20832-2031

Other identifiers 1

IdentifierTypeStateIssuer
1073878476OtherOPTOMETRIST

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1469923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1043763667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16800 CENTERFIELD WAY",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 VEIRS MILL RD",
            "address_2": "TARGET OPTICAL",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209022538",
            "telephone_number": "352-562-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOK STORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-31",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "AUYEUNG",
        "authorized_official_first_name": "CHUN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "352-562-4087",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRIST",
            "identifier": "1073878476",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.