Derrick Y. Chung, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4758 Issued in MA

Practice address

779 Lafayette Rd. Unit 5
Seabrook, NH 03874-4351

Phone

(603) 474-3781

Fax

(603) 574-4839

NPI assigned

Aug 12, 2009

Sex

Male

Sole proprietor

No

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.

• DC Eye Associates, P.L.L.C.

  • Optometrist
  • Seabrook, NH
  • NPI 1477828119
  Medicare reassignment NPD Authorized official NH · OPTOMETRIST
• Myeyedr Optometry of New Hampshire, PLLC

  • Optometrist
  • Milford, NH
  • NPI 1730764754
  Medicare reassignment NPD NH · OPTOMETRIST
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • Amherst, MA
  • NPI 1124534946
  Medicare reassignment NPD MA · OPTOMETRIST
• Myeyedr Optometry of New Hampshire, PLLC

  • Optometrist
  • Concord, NH
  • NPI 1174482194
  NPD OPTOMETRIST
• Myeyedr Optometry of New Hampshire, PLLC

  • Optometrist
  • Merrimack, NH
  • NPI 1922683945
  NPD OPTOMETRIST
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • Boston, MA
  • NPI 1548822315
  NPD OPTOMETRIST
• Myeyedr Optometry of Massachusetts P C

  • Optometrist
  • North Andover, MA
  • NPI 1922971415
  NPD OPTOMETRIST

Specialty

Optometry

Education

New England College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MA, NH2 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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2024.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1386876282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "SAUGUS",
            "state": "MA",
            "postal_code": "019060551",
            "fax_number": "603-574-4839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "779 LAFAYETTE RD. UNIT 5",
            "city": "SEABROOK",
            "state": "NH",
            "postal_code": "038744351",
            "telephone_number": "603-474-3781",
            "fax_number": "603-574-4839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Daniel Webster Hwy #103",
            "address_purpose": "LOCATION",
            "city": "Nashua",
            "state": "NH",
            "postal_code": "03060",
            "country_code": "US",
            "telephone_number": "603-888-9088",
            "fax_number": "603-574-4839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DERRICK",
        "middle_name": "Y.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4758",
            "primary": true
        },
        {
            "code": "126900000X",
            "taxonomy_group": "",
            "desc": "Dental Laboratory Technician",
            "state": "IA",
            "license": "123639",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00564",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0859",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bostwick
• Danielle Bouchard, PMHNP-BC
• Nicole Brennan
• Gregory Bresnahan
• Chase Anesthesia PLLC
• Coastal Companion and Care LLC
• Lisa N Conant, DC
• Donna Quinn Corriveau
• CVS Manchester NH, L.L.C.
• Rebecca J Cyr

• All providers in Seabrook, NH
• Optometrist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.