Active NPI
Hoon C Jung, M.D.
- Ophthalmology Physician
- Tacoma, WA
National Provider Identifier
1164521688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD60502859
- Practice address
- 3602 S 19TH St
Tacoma, WA 98405-1919 - Phone
- (253) 759-5555
- Fax
- (253) 830-5420
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD60502859 | WA | Primary |
Addresses
Primary practice location
3602 S 19TH St
Tacoma, WA 98405-1919
Mailing address
3602 S 19TH St
Tacoma, WA 98405-1919
Phone (253) 759-5555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2041803 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- PNW Eye PLLC
Practice addresses (Care Compare)
3602 S 19TH St
Tacoma, WA 98405-1919
Phone (253) 759-5555
4700 Point Fosdick Dr
Suite 112
Gig Harbor, WA 98335-1706
Phone (253) 858-5186
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60502859 | WA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Ophthalmology Services Inc. | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- hjung@pnwe.intellechartdirect.net
- hoon.jung@832.chartlogic.direct-ci.com
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Tacoma, WA
- NPI 1750663084
-
- Ophthalmology Physician
- Tacoma, WA
- NPI 1235262551
-
- Ophthalmology Physician
- Amherst, NY
- NPI 1093860843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1164521688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3602 S 19TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051919",
"telephone_number": "253-759-5555",
"fax_number": "253-830-5420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 S 19TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051919",
"telephone_number": "253-759-5555",
"fax_number": "253-830-5420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "HOON",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "MD60502859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2041803",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.