Individual provider Active NPI

Boram Chung, OD

  • Optometrist
  • Hillsboro, OR
National Provider Identifier
1437389111
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3312ATI Issued in OR
Practice address
1255 NE 48TH Ave
Hillsboro, OR 97124-5008
Phone
(503) 681-2804
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1745 AZ
Optometrist 152W00000X 3312ATI OR Primary

Addresses

Primary practice location

1255 NE 48TH Ave
Hillsboro, OR 97124-5008

Mailing address

1255 NE 48TH Ave
Hillsboro, OR 97124-5008
Phone (503) 681-2804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100205000050 OR Practitioner - Optometry 1254474703 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1745AZMDCounseling Psychologist
3312ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
M. Kwon. P.C., Inc. Optometrist CurrentSince Aug 27, 2019 Accepting new patients
Sunset Vision Center Optometrist Past Accepting new patients
Sunset Eye Clinic LLC Optometrist PastSince Nov 1, 2025 Accepting new patients
Nationwide Optometry P.C. Optometrist Past Accepting new patients

Locations

8136 SE Foster Rd
Ste 260
Portland, OR 97206
Phone (503) 546-4460

Organizations & group practices 4

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1437389111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 NE 48TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245008",
            "telephone_number": "503-681-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 NE 48TH AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245008",
            "telephone_number": "503-681-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "BORAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1745",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3312ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.