Individual provider Active NPI

Norman Chung

  • Optometrist
  • Orange, CA
National Provider Identifier
1154958791
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34622TLG Issued in CA
Practice address
293 S Main St Ste 100
Orange, CA 92868-3843
Phone
(714) 352-2911
Fax
(657) 221-0805
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34622TLG CA Primary

Addresses

Primary practice location

293 S Main St Ste 100
Orange, CA 92868-3843

Mailing address

15112 Tungwood St
Westminster, CA 92683-6338
Phone (714) 653-5338

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
I20210408002820 CA Practitioner - Optometry 3476961582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serve the People, Inc.Group PAC ID 4880872795, 5 clinicians

Practice addresses (Care Compare)

1206 E 17TH St
Suite 101
Santa Ana, CA 92701-2641
Phone (714) 352-2911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34622TLGCAMDOptometrist
34622CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Serve the People, Inc CurrentSince Jan 7, 2025 Accepting new patients
East Valley Community Health Center PastSince Jul 1, 2023 Accepting new patients

Locations

293 S Main St
Ste 100
Orange, CA 92868
Phone (714) 352-2911

1206 E 17th St
Ste 101
Santa Ana, CA 92701
Phone (714) 352-2911

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1154958791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15112 TUNGWOOD ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836338",
            "telephone_number": "714-653-5338",
            "fax_number": "657-221-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 S MAIN ST STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683843",
            "telephone_number": "714-352-2911",
            "fax_number": "657-221-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "NORMAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34622TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.