Christine Jaein Hur, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT35190-TLG Issued in CA

Practice address

22015 Avalon Blvd
Carson, CA 90745-3355

Phone

(310) 830-7584

NPI assigned

Apr 23, 2021

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Female

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fifth Optometric Care of CaliforniaGroup PAC ID 4284096298, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Fifth Optometric Care of California

  • Optometrist
  • San Jose, CA
  • NPI 1215627914
  Medicare reassignment Care Compare group NPD
• Yuan Optometry, a Professional Corporation

  • Clinic/Center
  • Carson, CA
  • NPI 1770154049
  Medicare reassignment NPD
• Fifth Optometric Care of California

  dba Taft Eye Care Optometric Center

  • Optometrist
  • Taft, CA
  • NPI 1699504746
  NPD
• Fifth Optometric Care of California

  dba Bakersfield Eye Care Optometric Center NW

  • Optometrist
  • Bakersfield, CA
  • NPI 1184453227
  NPD (past)
• Fifth Optometric Care of California

  dba Bakersfield Eye Care Optometric Center SW

  • Optometrist
  • Bakersfield, CA
  • NPI 1679302715
  NPD (past)
• Fifth Optometric Care of California

  dba Japantown Optometry

  • Optometrist
  • San Jose, CA
  • NPI 1871271353
  NPD (past)
• Gerry Gee, Optometry

  • Optometrist
  • Carson, CA
  • NPI 1457938409
  NPD (past)

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

{
    "created_epoch": "1619136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1093397614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12531 HERITAGE SPRINGS DR",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906706914",
            "telephone_number": "714-900-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22015 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453355",
            "telephone_number": "310-830-7584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2620 Tuscany St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928814646",
            "country_code": "US",
            "telephone_number": "951-372-9361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUR",
        "first_name": "CHRISTINE",
        "middle_name": "JAEIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-23",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35190-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Queen A Igbonagwam, PMHNP

• Optometrist in Carson, CA
• Providers in Carson, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.