Active NPI
Moonjung Choi, OD
- Optometrist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 011385
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18004631A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Indiana, LLC | Optometrist | Current | Accepting new patients |
| Ophthalmology Medical Service Group Inc | Current | 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.
-
- Ophthalmology Physician
- Syracuse, NY
- NPI 1225072051
-
- Optometrist
- Indianapolis, IN
- NPI 1679314686
-
- Optometrist
- Munster, IN
- NPI 1922974526
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; 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.