Individual provider Active NPI

Sarah Chung, O.D.

  • Optometrist
  • Westminster, CA
National Provider Identifier
1104151323
Registry record updated Oct 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13845 Issued in CA
Practice address
6731 Westminster Blvd
102
Westminster, CA 92683-3794
Phone
(714) 379-5495
Fax
(714) 379-5497
NPI assigned
Oct 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13845 CA Primary

Addresses

Primary practice location

6731 Westminster Blvd
102
Westminster, CA 92683-3794

Mailing address

6731 Westminster Blvd
102
Westminster, CA 92683-3794
Phone (714) 379-5495

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101011001061 CA Practitioner - Optometry 5890987713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13845CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Vision Optometry, Inc. Optometrist CurrentSince Jul 2, 2010 Accepting new patients

Locations

6731 Westminster Blvd
Ste 102
Westminster, CA 92683
Phone (714) 379-5495

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": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254787200000",
    "number": "1104151323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 WESTMINSTER BLVD",
            "address_2": "102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833794",
            "telephone_number": "714-379-5495",
            "fax_number": "714-379-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6731 WESTMINSTER BLVD",
            "address_2": "102",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833794",
            "telephone_number": "714-379-5495",
            "fax_number": "714-379-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SARAH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2009-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.