Chung Eye Care, PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHUNG EYE CARE, PA

Doing business as

Arkansas Family Eye Care

Practice address

25 E. Walnut
Paris, AR 72855

Phone

(479) 963-2661

Fax

(479) 963-6821

NPI assigned

Jan 16, 2007

Last updated

Apr 25, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen H Chung, ODNPI 1619939832

Title

Chairman

Phone

(479) 963-2661

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Arkansas Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen H Chung, OD

  • Optometrist
  • Paris, AR
  • NPI 1619939832
  Medicare reassignment Care Compare group NPD Authorized official
• Anh Q Chung, OD

  • Optometrist
  • Paris, AR
  • NPI 1689725970
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1396897013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 647",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "72855",
            "telephone_number": "479-963-2661",
            "fax_number": "479-963-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E. WALNUT",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "72855",
            "telephone_number": "479-963-2661",
            "fax_number": "479-963-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUNG EYE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "479-963-2661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2579",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5F412",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159554722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Damon James Beauchamp, OTR/L
• Cynthia Marie Blakesley, PHARMD
• Curtis Wayne Brust, D.C.
• Douglas A Buckley, MD
• Lisa Margo Bynum
• Anh Q Chung, OD
• Kathleen H Chung, OD
• Teresa A Collett, LPC
• Tabitha Cook, MHPP
• Cooper Clinic P a

• Optometrist in Paris, AR
• Providers in Paris, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.