Individual provider Active NPI

Hoon C Jung, M.D.

  • Ophthalmology Physician
  • Tacoma, WA
National Provider Identifier
1164521688
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60502859 Issued in WA
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

Updated by the provider on Jan 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2041803MedicaidWA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150205001526 WA Practitioner - Ophthalmology 7517060718 Reassigns benefits to 2 organizations

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 PLLCGroup PAC ID 0840458261, shared by 2 NPIs, 10 clinicians

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

ProcedureNumber of procedures
Cataract surgery225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60502859WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Ophthalmology Services Inc. Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hjung@pnwe.intellechartdirect.net
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.