Individual provider Active NPI

Lisa Ming Chung, M.D.

  • Ophthalmology Physician
  • Bradenton, FL
National Provider Identifier
1306377221
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME168438 Issued in FL
Practice address
426 Manatee Ave W
Bradenton, FL 34205-8845
Phone
(941) 708-9000
Fax
(941) 746-7365
NPI assigned
Mar 22, 2017
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME168438 FL Primary

Addresses

Primary practice location

426 Manatee Ave W
Bradenton, FL 34205-8845

Mailing address

426 Manatee Ave W
Bradenton, FL 34205-8845
Phone (941) 708-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240723001593 FL Practitioner - Ophthalmology 7012271950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Toledo College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Depot, P.a.Group PAC ID 6103827126, 3 clinicians

Practice addresses (Care Compare)

426 Manatee Ave W
Bradenton, FL 34205-8845
Phone 9417089000118

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.142022OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Depot, P. a. Ophthalmology CurrentSince Sep 9, 2024 Accepting new patients

Locations

426 Manatee Ave W
Bradenton, FL 34205
Phone (813) 748-1818

Interoperability endpoints

  • Direct secure messaging: lchungmd@theeyedepot.direct.eyemdemr.com

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": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1306377221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058845",
            "telephone_number": "941-708-9000",
            "fax_number": "941-746-7365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058845",
            "telephone_number": "941-708-9000",
            "fax_number": "941-746-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "LISA",
        "middle_name": "MING",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME168438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.