Individual provider Active NPI

Tommy Cung

  • Student in an Organized Health Care Education/Training Program
  • Boston, MA
National Provider Identifier
1346812799
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
OEG003784 Issued in PA
Practice address
150 S Huntington Ave
Boston, MA 02130-4817
Phone
(617) 232-9500
NPI assigned
Jul 14, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OEG003784 PA Primary

Addresses

Primary practice location

150 S Huntington Ave
Boston, MA 02130-4817

Mailing address

21126 Silver Birch LN
Germantown, MD 20876-6061
Phone (240) 863-8135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20221010003014 GA Practitioner - Optometry 8123404472 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003784PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Infocus Eye Care, Inc. CurrentSince Nov 17, 2023 Accepting new patients
Spectacle, LLC CurrentSince Nov 22, 2024 Accepting new patients

Locations

375 18th St NW
Atlanta, GA 30363
Phone (404) 260-6196

100 Perimeter Center Pl NE
Atlanta, GA 30346
Phone (678) 259-0888

1275 Caroline St NE
Atlanta, GA 30307
Phone (404) 260-0200

6700 Douglas Blvd
Ste 1270
Douglasville, GA 30135
Phone (770) 577-4434

5220 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-1421

2535 Dallas Hwy SW
Marietta, GA 30064
Phone (770) 250-7034

1135 Woodstock Rd
Roswell, GA 30075
Phone (770) 998-7122

2201 Cobb Pkwy SE
Smyrna, GA 30080
Phone (770) 250-7510

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1346812799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21126 SILVER BIRCH LN",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208766061",
            "telephone_number": "240-863-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S HUNTINGTON AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021304817",
            "telephone_number": "617-232-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNG",
        "first_name": "TOMMY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OEG003784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.