Hungsun Song Chung, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10919T Issued in CA

Practice address

2908 El Camino Real Ste 120
Santa Clara, CA 95051-2944

Phone

(408) 984-2020

Fax

(408) 984-2016

NPI assigned

Feb 14, 2007

Last updated

Mar 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ecs of Bay Area Optometry Corporation

  • Optometrist
  • Novato, CA
  • NPI 1154207868
  Medicare reassignment
• Eye Boutique Optometry Inc

  • Optometrist
  • Santa Clara, CA
  • NPI 1215296637
  NPD

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1366585028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14345 SARATOGA AVE",
            "address_2": "APT 36",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950705944",
            "telephone_number": "408-857-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 EL CAMINO REAL STE 120",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950512944",
            "telephone_number": "408-984-2020",
            "fax_number": "408-984-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "HUNGSUN",
        "middle_name": "SONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10919T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathy Chun, PHARMD
• Marcus Yah-Tung Chun, CRTT
• Ashley Greenawalt Chung, OD, MS
• Chris Chung, M.D.
• Connie Yeonhee Chung, D.C.
• Jennifer Chung, MD
• Kwai Ying Chung, FNP-C
• Lydia Chung
• Melody Chung
• Peter Kai-Wong Chung, D.O

• Optometrist in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.