Sue Jin Chong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7433 Issued in TX

Practice address

204 S Nursery Rd
Ste 168
Irving, TX 75060-3184

Phone

(972) 579-4646

NPI assigned

Aug 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Sue Jin Choi Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Eye Physician Group PLLC

  • Optometrist
  • Irving, TX
  • NPI 1588934525
  Medicare reassignment
• Vision Depot LLC

  • Optometrist
  • Dallas, TX
  • NPI 1770923401
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1174756142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S NURSERY RD",
            "address_2": "STE 168",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750603184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S NURSERY RD",
            "address_2": "STE 168",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750603184",
            "telephone_number": "972-579-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "SUE",
        "middle_name": "JIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7433",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2634",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "CHOI",
            "middle_name": "JIN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Briana Cho
• Younjoo Cho, D.D.S
• Kara Choate, M.D.
• Choice Anesthesia
• Choices
• Yi-Chun Michelle Chou, M.D.
• Carla Choucino
• Razi Akbur Choudhry
• Whitney Leigh Chouteau, D.O.
• Mamun Chowdhury

• Optometrist in Irving, TX
• Providers in Irving, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.