Joanne H Myung, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

12410 Issued in CA

Practice address

3680 Wilshire Blvd Ste 105
Los Angeles, CA 90010-2713

Phone

(213) 386-0001

NPI assigned

Oct 14, 2005

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joannemyungod@socalfamilyeye.direct.eyemdemr.com

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.

• Optikos

  • Optometrist
  • La, CA
  • NPI 1134618986
  NPD
• Dr Alan C Brodney an Optometric Corp

  • Optometrist
  • Los Angeles, CA
  • NPI 1184732844
  NPD (past)
• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  NPD (past)
• Socal Family Eye Care, Inc.

  • Ophthalmology Physician
  • Long Beach, CA
  • NPI 1427155662
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1396734158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 WILSHIRE BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102713",
            "telephone_number": "213-386-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 WILSHIRE BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102713",
            "telephone_number": "213-386-0001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2865 Atlantic Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908067404",
            "country_code": "US",
            "telephone_number": "562-988-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYUNG",
        "first_name": "JOANNE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azzlee Myres, PHARMD
• Anelisa Myrick
• Joseph T Myrie, MD
• Vanessa Asana Myrie, MSW
• Jayson L. Mystkowski, PH.D.
• Kye Myung
• N & Y Health Care Services and Consultation Apc
• N and B Patel M D Inc
• N and B Patel M.D. Inc
• N-Care Physical Therapy Inc

• Optometrist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.