Individual provider Active NPI

Susan Seonshil Choi-Chung, O.D.

  • Optometrist
  • West Hempstead, NY
National Provider Identifier
1114977261
Registry record updated Oct 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV007102-1 Issued in NY
Practice address
500 Hempstead Tpke
Dba: Cohens Fashion Optical
West Hempstead, NY 11552-1125
Phone
(516) 489-2262
Fax
(516) 539-0296
NPI assigned
May 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000325 PA
Optometrist 152W00000X TUV007102-1 NY Primary
Optometrist 152W00000X 5717TG TX

Addresses

Primary practice location

500 Hempstead Tpke
Dba: Cohens Fashion Optical
West Hempstead, NY 11552-1125

Mailing address

500 Hempstead Tpke
Dba: Cohens Fashion Optical
West Hempstead, NY 11552-1125
Phone (516) 489-2262

Other identifiers 5

IdentifierTypeStateIssuer
1367639OtherPACLARITY VISION
NY7102OtherNYEYEMED
160871OtherPACOLE MANAGED VISION
03478993MedicaidNY
397400OtherPANATIONAL VISION ADM

Other names 1

  • Dr. Susan S Choi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007102-1NYMDOptometrist
OEG000325PAMDOptometrist
5717TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearle Vision Inc Past Accepting new patients

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1114977261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HEMPSTEAD TPKE",
            "address_2": "DBA: COHENS FASHION OPTICAL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521125",
            "telephone_number": "516-489-2262",
            "fax_number": "516-539-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HEMPSTEAD TPKE",
            "address_2": "DBA: COHENS FASHION OPTICAL",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521125",
            "telephone_number": "516-489-2262",
            "fax_number": "516-539-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI-CHUNG",
        "first_name": "SUSAN",
        "middle_name": "SEONSHIL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000325",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007102-1",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5717TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLARITY VISION",
            "identifier": "1367639",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY7102",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLE MANAGED VISION",
            "identifier": "160871",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03478993",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADM",
            "identifier": "397400",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CHOI",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Hempstead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.