Individual provider Active NPI

Christina H Chon, O.D.

  • Optometrist
  • Annandale, VA
National Provider Identifier
1063584993
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001649 Issued in VA
Practice address
7700 Little River Tpke Ste 101
Annandale, VA 22003-2406
Phone
(703) 658-7070
Fax
(703) 658-7071
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001649 VA Primary
Optometrist 152W00000X MD2015 MD

Addresses

Primary practice location

7700 Little River Tpke Ste 101
Annandale, VA 22003-2406

Mailing address

7700 Little River Tpke Ste 101
Annandale, VA 22003-2406
Phone (703) 658-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20090506000129 DC Practitioner - Optometry 8921172867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sop Song, OD PCGroup PAC ID 8123185923, 3 clinicians

Practice addresses (Care Compare)

7700 Little River Tpke
Annandale, VA 22003-2406
Phone (703) 658-7070

7700 Little River Turnpike
Suite 101
Annadale, VA 22003-2406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD2015MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sop Song, OD PC Optometrist CurrentSince Mar 5, 2009 Accepting new patients

Locations

7700 Little River Tpke
Ste 101
Annandale, VA 22003
Phone (703) 658-7070

Organizations & group practices 1

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223596800000",
    "number": "1063584993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE STE 101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032406",
            "telephone_number": "703-658-7070",
            "fax_number": "703-658-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LITTLE RIVER TPKE STE 101",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032406",
            "telephone_number": "703-658-7070",
            "fax_number": "703-658-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHON",
        "first_name": "CHRISTINA",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2008-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001649",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "MD2015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.