Active NPI
Chenh Man Vong, O.D.
- Optometrist
- Covina, CA
National Provider Identifier
1366523565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12181T
- Practice address
- 141 N. Citrus Ave.
Chenh Vong
Covina, CA 91723 - Phone
- (626) 967-5587
- Fax
- (626) 967-4118
- NPI assigned
- Oct 17, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12181T | CA | Primary |
Addresses
Primary practice location
141 N. Citrus Ave.
Chenh Vong
Covina, CA 91723
Mailing address
6316 Johnson Ave.
Chenh Vong
Long Beach, CA 90805
Phone (562) 423-0296
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 |
|---|---|---|---|
| 12181T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366523565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6316 JOHNSON AVE.",
"address_2": "CHENH VONG",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90805",
"telephone_number": "562-423-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 N. CITRUS AVE.",
"address_2": "CHENH VONG",
"city": "COVINA",
"state": "CA",
"postal_code": "91723",
"telephone_number": "626-967-5587",
"fax_number": "626-967-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONG",
"first_name": "CHENH",
"middle_name": "MAN",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12181T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.