Steve Phung Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

11097T Issued in CA

Legal business name

STEVE PHUNG OPTOMETRY INC

Practice address

11412 Washington Blvd
Whittier, CA 90606-3122

Phone

(562) 908-0510

Fax

(562) 908-0511

NPI assigned

Jan 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steve Phung, O.D.NPI 1144212713

Title

President

Phone

(562) 908-0510

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve Phung, O.D.

  • Optometrist
  • Whittier, CA
  • NPI 1144212713
  Medicare reassignment NPD Authorized official
• Diane Tran, OD

  • Optometrist
  • Lakewood, CA
  • NPI 1598326811
  NPD

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

{
    "created_epoch": "1200182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1275719957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906063122",
            "telephone_number": "562-908-0510",
            "fax_number": "562-908-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 WASHINGTON BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906063122",
            "telephone_number": "562-908-0510",
            "fax_number": "562-908-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE PHUNG OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-13",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-908-0510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11097T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Steelman, MA.,CCC-SLP
• Savannah Steigler
• Ella Stepanian
• George Stephanian
• Stephanie Santos Family Counseling Inc
• Steven J Gerschultz MD Inc
• Steven M. Kaye, MD, Inc
• Devin Stewart
• Elizabeth Carter Still, FNP
• William H Stimmler, M.D.

• Optometrist in Whittier, CA
• Providers in Whittier, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.