Individual provider Active NPI

Diana Chuong, OD

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1346643327
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003009 Issued in PA
Practice address
180 W Girard Ave
5
Philadelphia, PA 19123-1660
Phone
(215) 554-6222
Fax
(215) 554-6200
NPI assigned
Oct 3, 2014
Last updated
Jul 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003009 PA Primary

Addresses

Primary practice location

180 W Girard Ave
5
Philadelphia, PA 19123-1660

Mailing address

180 W Girard Ave
5
Philadelphia, PA 19123-1660
Phone (215) 554-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150803001303 PA Practitioner - Optometry 1658685722 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trend Eye Care LLCGroup PAC ID 4486882842, 4 clinicians
City Line Eye Care LLCGroup PAC ID 2961893912, 4 clinicians
Harbison Eye Care LLCGroup PAC ID 7810223500, 7 clinicians
New World Vision Center, Inc.Group PAC ID 4688733173, 3 clinicians

Practice addresses (Care Compare)

180 W Girard Ave
Suite 5
Philadelphia, PA 19123-1660
Phone (215) 554-6222

49 E City Ave
Suite 10
Bala Cynwyd, PA 19004-2421
Phone (610) 206-3866

5597 Tulip St
Suite B8
Philadelphia, PA 19124-1562
Phone (267) 360-6944

612 Washington Ave
Suite 3
Philadelphia, PA 19147-4836
Phone (215) 599-2020

7130 Ridge Ave
Suite 7
Philadelphia, PA 19128-3250
Phone (267) 886-7311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003009PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfair Vision Center LLC Optometrist CurrentSince Aug 26, 2025 Accepting new patients
Harbison Eye Care LLC Optometrist CurrentSince Oct 15, 2019 Accepting new patients
Roxborough Eye Care LLC Optometrist CurrentSince Sep 11, 2025 Accepting new patients
New World Vision Center, Inc. Optometrist CurrentSince Jun 22, 2019 Accepting new patients
Trend Eye Care LLC Optometrist CurrentSince Jul 20, 2015 Accepting new patients
Grays Eye Care LLC Optometrist CurrentSince Dec 16, 2025 Accepting new patients
City Line Eye Care LLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients

Locations

49 E City Ave
#10
Bala Cynwyd, PA 19004
Phone (610) 206-3866

49 E City Ave
Ste 10
Bala Cynwyd, PA 19004
Phone (610) 206-3866

1501 N Broad St
Ste 7
Philadelphia, PA 19122
Phone (215) 360-6944

180 W Girard Ave
Ste 5
Philadelphia, PA 19123
Phone (215) 554-6222

2893 Grays Ferry Ave
Philadelphia, PA 19146
Phone (215) 964-9605

5597 Tulip St
Ste B8
Philadelphia, PA 19124
Phone (267) 360-6944

612 Washington Ave
Ste 3
Philadelphia, PA 19147
Phone (215) 599-2020

6420 Frankford Ave
Unit 7
Philadelphia, PA 19135
Phone (215) 214-5152

7130 Ridge Ave
Ste 7
Philadelphia, PA 19128
Phone (267) 866-7311

Organizations & group practices 8

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": "1412294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1346643327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W GIRARD AVE",
            "address_2": "5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231660",
            "telephone_number": "215-554-6222",
            "fax_number": "215-554-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W GIRARD AVE",
            "address_2": "5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191231660",
            "telephone_number": "215-554-6222",
            "fax_number": "215-554-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUONG",
        "first_name": "DIANA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-03",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.