Michelle Chung

Primary specialty

OptometristTaxonomy code 152W00000X

License

009161 Issued in NY

Practice address

14020 Sanford Ave Apt 1C
Flushing, NY 11355-2559

Phone

(718) 762-3838

NPI assigned

Jun 4, 2020

Sex

Female

Sole proprietor

Yes

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 NJ

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

Pennsylvania College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William J. Tullo, OD, LLCGroup PAC ID 6002964830, 2 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.

• William J. Tullo, OD, LLC

  • Corneal and Contact Management Optometrist
  • Princeton, NJ
  • NPI 1417193889
  Medicare reassignment Care Compare group NPD
• Amy Y Chen Optometry P.C.

  • Optometrist
  • Flushing, NY
  • NPI 1083965123
  NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1235753245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 SANFORD AVE APT 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552559",
            "telephone_number": "718-762-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 SANFORD AVE APT 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552559",
            "telephone_number": "718-762-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heo C Chung, L.AC
• Jennifer A Chung, LMHC
• Ji-Yeon Chung, D.D.S.
• Julio Jaehun Chung
• Lap Pang Benny Chung, RPA-C
• Michelle Sookhyun Chung, PA
• Min (Paul) M Chung, D.D.S.
• Sea Hyun Chung, M.D.
• So Hyun Chung, O.D.
• Wendy Wei Chung, M.D.

• Optometrist in Flushing, NY
• Providers in Flushing, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.
• 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.