Northern Avenue Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1131 Issued in AZ

Legal business name

NORTHERN AVENUE EYE CARE, LLC

Practice address

2337 W Northern Ave
Phoenix, AZ 85021-4918

Phone

(602) 995-8848

Fax

(602) 995-2980

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sonia Chung, O.D.

Title

Member

Phone

(602) 995-8848

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1245389055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 W NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214918",
            "telephone_number": "602-995-8848",
            "fax_number": "602-995-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 W NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214918",
            "telephone_number": "602-995-8848",
            "fax_number": "602-995-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN AVENUE EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "SONIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-995-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.