Individual provider Active NPI

Michelle Narim Chun, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1407382476
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008732 Issued in NY
Practice address
7 E 33Rd St
New York, NY 10016-5002
Phone
(707) 566-5974
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008732 NY Primary
Optometrist 152W00000X 33440TLG CA

Addresses

Primary practice location

7 E 33Rd St
New York, NY 10016-5002

Mailing address

7 E 33Rd St
New York, NY 10016-5002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 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
I20170811001250 CA Practitioner - Optometry 6901177716 Reassigns benefits to 2 organizations
I20220926001452 NY Practitioner - Optometry 6901177716 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33440CAMDPeriodontist
33440TLGCAMDOptometrist
TUV008732NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall B. Ketchum University CurrentSince Jul 21, 2017 Accepting new patients
Marshall B. Ketchum University Optometrist CurrentSince Jul 21, 2017 Accepting new patients
French Optical Fashion Inc CurrentSince Aug 1, 2022 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Feb 11, 2025 Accepting new patients
Empire Vision Center, Inc CurrentSince Feb 11, 2025 Accepting new patients
Troy Humphreys OD Faao, Professional Corporation Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Free Form Optical Inc PastSince Jan 19, 2020 Accepting new patients

Locations

5460 E La Palma Ave
Anaheim, CA 92807
Phone (714) 463-7500

600 Ash St
Susanville, CA 96130
Phone (530) 257-3636

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

7 E 33rd St
New York, NY 10016
Phone (212) 868-3310

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

1663 E Henrietta Rd
Rochester, NY 14623
Phone (585) 424-7000

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 7

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1407382476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 E 33RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E 33RD ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165002",
            "telephone_number": "707-566-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "MICHELLE",
        "middle_name": "NARIM",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008732",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33440TLG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.