Active NPI
Teresa Chung, OD
- Optometrist
- Seattle, WA
National Provider Identifier
1316020076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3943
- Practice address
- 915 NW 45TH St
Seattle, WA 98107-4606 - Phone
- (206) 789-8694
- Fax
- (206) 789-9629
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- 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 | 3943 | WA | Primary |
Addresses
Primary practice location
915 NW 45TH St
Seattle, WA 98107-4606
Mailing address
2618 4TH Ave N Apt 501
Seattle, WA 98109-1959
Phone (206) 715-2926
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3943 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1316020076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2618 4TH AVE N APT 501",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981091959",
"telephone_number": "206-715-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 NW 45TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981074606",
"telephone_number": "206-789-8694",
"fax_number": "206-789-9629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "TERESA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.