Active NPI
Somatra Chhoeng, O.D.
- Optometrist
- Sierra Vista, AZ
National Provider Identifier
1275974370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1946
- Practice address
- 500 N State Hwy 90 C/O Somatra Chhoeng
Sierra Vista, AZ 85635 - Phone
- (520) 458-8655
- NPI assigned
- Jul 17, 2013
- Last updated
- Sep 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1946 | AZ | Primary |
Addresses
Primary practice location
500 N State Hwy 90 C/O Somatra Chhoeng
Sierra Vista, AZ 85635
Mailing address
500 N State Hwy 90 C/O Somatra Chhoeng
Sierra Vista, AZ 85635
Phone (520) 458-8655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1946 | AZ | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378684800000",
"number": "1275974370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N STATE HWY 90 C/O SOMATRA CHHOENG",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "85635",
"telephone_number": "520-458-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N STATE HWY 90 C/O SOMATRA CHHOENG",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "85635",
"telephone_number": "520-458-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHHOENG",
"first_name": "SOMATRA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-17",
"last_updated": "2013-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Vista, AZ
- Martha Zimmermann Chambers, LMT, MMP
- Champion Speech & Language Therapy LLC
- Jessica Ivy Chang
- Todd Hyrum Chapman, CRNA
- Kimberly Michele Chestnut, CRNA
- John G Chiakmakis, DPM
- Child & Family Resources, Inc.
- Chiricahua Community Health Centers Inc (Chiricahua Pharmacy)
- Chiricahua Community Health Centers, Inc (Cchci)
- Chiricahua Community Health Centers, Inc (Sierra Vista Behavioral Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.