Charles Sung MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CHARLES SUNG MD PC

Doing business as

Retina Laser Eye Center

Practice address

317 N Delaware St
Kennewick, WA 99336-7750

Phone

(509) 736-5550

Fax

(509) 737-8281

NPI assigned

Mar 27, 2007

Last updated

Nov 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles C Sung, M.D.NPI 1275532996

Title

Medical Director

Phone

(509) 736-5550

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Retina Laser Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

Tax ID family

Charles C Sung2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Charles Sung MD PC

  dba Retina Laser Eye Center

  • Ophthalmology Physician
  • Kennewick, WA
  • NPI 1528595550
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charles C Sung, MD

  • Ophthalmology Physician
  • Kennewick, WA
  • NPI 1275532996
  Medicare reassignment Authorized official
• Marlene Louise Lovenguth, CRNA

  • Certified Registered Nurse Anesthetist
  • Scottsdale, AZ
  • NPI 1639107220

  WA

  Medicare reassignment NPD
• Kevin Gia-Minh Phan, OD

  • Optometrist
  • Happy Valley, OR
  • NPI 1164065959

  WA

  Medicare reassignment NPD
• Terry D Wood, MD

  • Ophthalmology Physician
  • Kahului, HI
  • NPI 1609856426

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1245358050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N DELAWARE ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367750",
            "telephone_number": "509-736-5550",
            "fax_number": "509-737-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N DELAWARE ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367750",
            "telephone_number": "509-736-5550",
            "fax_number": "509-737-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES SUNG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "509-736-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ASC ID-TYPE UNSPECIFIED",
            "identifier": "G8807705",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID-TYPE UNSPECIFIED",
            "identifier": "G8854419",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Laser Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron W Chan, D.C.
• David W Chan, D.C.
• Theodore Wei-Kit Chan, D.C.
• Raina L Chang, DACM, LAC
• James Patrick Chapados, DDS
• Charles Sung MD PC (Retina Laser Eye Center)
• Hazel Charney, MT
• Amber Charoen, M.D.
• Jennifer Candice Charron, MD
• Maria Chavez

• Ophthalmology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.