Individual provider Active NPI

Graham Chung, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1386329183
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TR009908 Issued in NY
Practice address
33 W 42ND St
New York, NY 10036-8005
Phone
(212) 938-4000
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TR009908 NY Primary

Addresses

Primary practice location

33 W 42ND St
New York, NY 10036-8005

Mailing address

85 Melba Ave
San Francisco, CA 94132-1530
Phone (415) 699-7433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231128001693 NY Practitioner - Optometry 9335597673 Reassigns benefits to 1 organization
I20240812002461 CA Practitioner - Optometry 9335597673 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California at BerkeleyGroup PAC ID 8628083110, 57 clinicians
The West Oakland Health CouncilGroup PAC ID 9537062302, shared by 4 NPIs, 27 clinicians

Practice addresses (Care Compare)

200 Minor Hall
Suite 384a
Berkeley, CA 94720-2020
Phone (510) 642-2020

700 Adeline St
Oakland, CA 94607-2608
Phone 51083596102006

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
73.89
Promoting interoperability
89
Improvement activities
40
Cost
75.72

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35663CAMDPsychologist
009908NYMDDietary Manager
TR009908NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jul 25, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 25, 2024 Accepting new patients
State of New York Comptrollers Office Optometrist CurrentSince Oct 3, 2023 Accepting new patients
University of California San Francisco CurrentSince Jul 25, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 25, 2024 Accepting new patients
State of New York Comptrollers Office CurrentSince Oct 3, 2023 Accepting new patients
University of California San Francisco Current Accepting new patients
Regents of the University of California at Berkeley Optometrist CurrentSince Aug 11, 2024 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

3100 San Pablo Ave
Fl 4
Berkeley, CA 94702
Phone (415) 353-8299

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

University Eye Ctr
New York, NY 10087

33 W 42nd St
New York, NY 10036
Phone (212) 780-4930

33 W 42nd St
Fl 10
New York, NY 10036
Phone (212) 780-4930

Interoperability endpoints

  • Direct secure messaging: graham.chung.p1@direct.opt.nextgenshare.com
  • Direct secure messaging: gchung372240@direct-ucsfmedicalcenter.org
  • Direct secure messaging: gchung728331@direct.ochin.org

Organizations & group practices 9

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": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1386329183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MELBA AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321530",
            "telephone_number": "415-699-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 42ND ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368005",
            "telephone_number": "212-938-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "GRAHAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TR009908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.