Pius Seong Jung, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG003065 Issued in PA

Practice address

2118 Cottman Ave # 8
Philadelphia, PA 19149-1133

Phone

(215) 725-1209

Fax

(215) 745-1373

NPI assigned

Jun 28, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Visionworks, Inc.

  • Optometrist
  • Erie, PA
  • NPI 1063579837
  Medicare reassignment NPD
• Visionworks, Inc

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1235511171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 COTTMAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491133",
            "telephone_number": "215-725-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 COTTMAN AVE # 8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491133",
            "telephone_number": "215-725-1209",
            "fax_number": "215-745-1373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 Susan Cir",
            "address_purpose": "LOCATION",
            "city": "North Wales",
            "state": "PA",
            "postal_code": "194541420",
            "country_code": "US",
            "telephone_number": "646-742-7186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNG",
        "first_name": "PIUS",
        "middle_name": "SEONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-28",
        "last_updated": "2020-12-03",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1014503890001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ha Rim Jung, RPH
• Hae-Min Jung
• Harim Jung, MSW, LSW
• Hyunjoo Chang Jung, CRNP
• Joon H Jung, R.PH.
• So Young Jung, PHARMD
• Soo Y. Jung, MD
• Sukyong Jung, DMD
• Vicki Jung, PHARMD
• Wei Jonathan Jung, MBCHB, MSC

• Optometrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.