Individual provider Active NPI

Hon Quoc Chung, O.D.

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1275846750
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2645 Issued in AR
Practice address
7320 Rogers Ave
Suite 14
Fort Smith, AR 72903-4166
Phone
(479) 452-9173
NPI assigned
Jul 26, 2010
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2645 AR Primary

Addresses

Primary practice location

7320 Rogers Ave
Suite 14
Fort Smith, AR 72903-4166

Mailing address

7320 Rogers Ave
Suite 14
Fort Smith, AR 72903-4166
Phone (479) 452-9173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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

Enrollment IDStateProvider typePAC IDDetails
I20100920000071 AR Practitioner - Optometry 7517082134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

616 S 17TH St
Fort Smith, AR 72901-4700
Phone (479) 452-9173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hon Q Chung Eyecare PA Optometrist CurrentSince Jul 1, 2010 Accepting new patients

Locations

616 S 17th St
Fort Smith, AR 72901
Phone (479) 434-3333

616 S 17th St
Ste A
Fort Smith, AR 72901

7320 Rogers Ave
Ste 14
Fort Smith, AR 72903
Phone (479) 452-9173

2214 Fayetteville Rd
Van Buren, AR 72956
Phone (479) 279-0454

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1275846750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 ROGERS AVE",
            "address_2": "SUITE 14",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034166",
            "telephone_number": "479-452-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 ROGERS AVE",
            "address_2": "SUITE 14",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034166",
            "telephone_number": "479-452-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HON",
        "middle_name": "QUOC",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.