Jan Tung, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14400 Issued in CA

Practice address

140 W Valley Blvd
#115
San Gabriel, CA 91776-3760

Phone

(626) 288-8023

Fax

(626) 288-8326

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eddie C. Wang, O.D., Professional Optometric CorporationGroup PAC ID 1153406392, 4 clinicians

Practice addresses (Care Compare)

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.

• Eddie C. Wang, O.D., Professional Optometric Corporation

  • Optometrist
  • Whittier, CA
  • NPI 1316129927
  Medicare reassignment Care Compare group NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Woodlake, CA
  • NPI 1164517744
  Medicare reassignment NPD
• Family Healthcare Network

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1063283158
  NPD
• Total Vision PC

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  NPD
• Jimmy K. Lee, M.D. Inc.

  • Cornea and External Diseases Specialist Physician
  • Irvine, CA
  • NPI 1750143681
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1184979072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD",
            "address_2": "#115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763760",
            "telephone_number": "626-288-8023",
            "fax_number": "626-288-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W VALLEY BLVD",
            "address_2": "#115",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763760",
            "telephone_number": "626-288-8023",
            "fax_number": "626-288-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "JAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Bih-Fei Tsai, DPT
• Shui Kwan Tsao, A.C.
• Winson Tse, D.C.
• Sara Tuck, PA-C
• Aamaia Elizabeth Tugade
• Erika Tututi
• Ultimate Male
• Justine Ung, PHARM.D, BCPS
• Lynn Ung, R. PH
• United Radiology Imaging Corp

• Optometrist in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.

Verify at the official NPI Registry.