Connie Ung, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5283TG Issued in TX

Practice address

3100 Highway 365
Suite 164
Port Arthur, TX 77642-7724

Phone

(409) 727-5366

Fax

(409) 727-4910

NPI assigned

Jul 20, 2006

Last updated

Mar 26, 2015By the provider in NPPES

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

Enrolled in TX

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Park Central Eyecare PA

  dba Master Eye Port Arthur

  • Optometrist
  • Port Arthur, TX
  • NPI 1891971735
  Medicare reassignment NPD Authorized official
• Summit Sight

  • Optometrist
  • Houston, TX
  • NPI 1194542720
  NPD
• Vertex Vision

  • Optometrist
  • Magnolia, TX
  • NPI 1730701442
  NPD
• Apex Eye Center PLLC

  • Optometrist
  • Orange, TX
  • NPI 1710217054
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1467472860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11710 ORCHARD MOUNTAIN DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770595514",
            "telephone_number": "409-727-5366",
            "fax_number": "409-727-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 HIGHWAY 365",
            "address_2": "SUITE 164",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776427724",
            "telephone_number": "409-727-5366",
            "fax_number": "409-727-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNG",
        "first_name": "CONNIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5283TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shameka Turner, LCSW
• Twin City Dental, PA
• Tyler County Hospital District (Bonne Vie)
• Ukanti Healthcare Services PLLC
• Landry Kalombo Umbu, MD
• Tracie Dalene Updike, M.D.
• Ifeoma Uwagboe, RPH
• Mohamed Dawood Vadva, MD
• Monique Nichole Vannoy, FNP
• Maura Vazquez, LVN

• Optometrist in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.