Individual provider Active NPI

Moonjung Choi, OD

  • Optometrist
  • Syracuse, NY
National Provider Identifier
1063374585
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
011385 Issued in NY
Practice address
550 Harrison St Ste L
Syracuse, NY 13202-3188
Phone
(315) 464-5230
Fax
(315) 464-6663
NPI assigned
Dec 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 011385 NY Primary

Addresses

Primary practice location

550 Harrison St Ste L
Syracuse, NY 13202-3188

Mailing address

550 Harrison St Ste L
Syracuse, NY 13202-3188
Phone (315) 464-5230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20260309001432 IN Practitioner - Optometry 6507349529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

1105 S College Mall Rd
Bloomington, IN 47401-6177
Phone (812) 333-2020

357 W Morgan St C
Spencer, IN 47460-1255
Phone (812) 829-2972

9760 Lantern Rd
Fishers, IN 46037-9612
Phone (317) 577-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18004631AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jan 28, 2026 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince Jan 28, 2026 Accepting new patients
Ophthalmology Medical Service Group Inc CurrentSince Jul 1, 2026 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Past Accepting new patients

Locations

4719 W State Road 46
Bloomington, IN 47404
Phone (812) 876-2020

1105 S College Mall Rd
Bloomington, IN 47401
Phone (812) 333-2020

357 W Morgan St
Ste C
Spencer, IN 47460
Phone (812) 829-1254

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1063374585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 HARRISON ST STE L",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023188",
            "telephone_number": "315-464-5230",
            "fax_number": "315-464-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 HARRISON ST STE L",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023188",
            "telephone_number": "315-464-5230",
            "fax_number": "315-464-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "MOONJUNG",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "011385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.