Melissa Chong OD Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MELISSA CHONG OD OPTOMETRY CORPORATION

Practice address

410 S Glendora Ave Ste 110
Glendora, CA 91741-6207

Phone

(626) 335-4021

NPI assigned

May 24, 2023

Organization subpart

No

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

Authorized official

Name

Melissa ChongNPI 1720563752

Title

Optometrist

Phone

(323) 519-8237

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Chong

  • Optometrist
  • El Monte, CA
  • NPI 1720563752
  Medicare reassignment NPD Authorized official
• David Donald Carlton, O.D.

  • Optometrist
  • Glendora, CA
  • NPI 1154342566
  NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684886400000",
    "number": "1407548670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 OAK AVE UNIT 895",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917804436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 S GLENDORA AVE STE 110",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416207",
            "telephone_number": "626-335-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA CHONG OD OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "323-519-8237"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kurt Allan Melstrom Jr., MD
• Melvyn H. Krause, M. D. and John J. Di Mare Jr., M.D., Inc.
• Menalam Health Services PC
• Jessica G Mendez

• Optometrist in Glendora, CA
• Providers in Glendora, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.