Active NPI
Chung T To, O.D
- Optometrist
- Tampa, FL
National Provider Identifier
1285997072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002150
- Practice address
- 10770 N 46TH Street
James a. Haley Vamc: Eye Clinic
Tampa, FL 33617 - Phone
- (813) 972-2000
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002150 | VA | Primary |
| Optometrist | 152W00000X | OPC 4846 | FL |
Addresses
Primary practice location
10770 N 46TH Street
James a. Haley Vamc: Eye Clinic
Tampa, FL 33617
Mailing address
10770 N 46TH Street
James a. Haley Vamc: Eye Clinic
Tampa, FL 33617
Phone (813) 972-2000
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 |
|---|---|---|---|
| OPC 4846 | FL | MD | Optometrist |
| 0618002150 | VA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1285997072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10770 N 46TH STREET",
"address_2": "JAMES A. HALEY VAMC: EYE CLINIC",
"city": "TAMPA",
"state": "FL",
"postal_code": "33617",
"telephone_number": "813-972-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10770 N 46TH STREET",
"address_2": "JAMES A. HALEY VAMC: EYE CLINIC",
"city": "TAMPA",
"state": "FL",
"postal_code": "33617",
"telephone_number": "813-972-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TO",
"first_name": "CHUNG",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002150",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 4846",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.