Individual provider Active NPI

Mary Minah Cheng, O.D.

  • Optometrist
  • Rosemead, CA
National Provider Identifier
1477582849
Registry record updated Nov 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 127820 TPA Issued in CA
Practice address
8622 E Garvey Ave #101
Rosemead, CA 91770
Phone
(626) 288-1287
Fax
(626) 288-3229
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 127820 TPA CA Primary

Addresses

Primary practice location

8622 E Garvey Ave #101
Rosemead, CA 91770

Mailing address

8622 Garvey Ave Ste 101
Rosemead, CA 91770-3291
Phone (626) 288-1287

Other identifiers 1

IdentifierTypeStateIssuer
SD0127820MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060330000426 CA Practitioner - Optometry 8123036381 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8622 Garvey Ave
Suite 101
Rosemead, CA 91770-3291
Phone (626) 288-1287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 127820 TPACAMDOptometrist

Practice roles (2 of 3)

OrganizationSpecialtyStatusNew patients
Agape Eye Care Optometry, Inc. Optometrist CurrentSince Nov 9, 2015 Accepting new patients
Spark Healthcare CurrentSince Oct 16, 2024 Accepting new patients

Locations

8622 Garvey Ave
Ste 205
Rosemead, CA 91770
Phone (626) 693-2077

8622 Garvey Ave
Ste 101
Rosemead, CA 91770
Phone (626) 288-1287

2712 San Gabriel Blvd
Rosemead, CA 91770
Phone (626) 288-1199

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763769600000",
    "number": "1477582849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 GARVEY AVE STE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917703291",
            "telephone_number": "626-288-1287",
            "fax_number": "626-288-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 E GARVEY AVE #101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "91770",
            "telephone_number": "626-288-1287",
            "fax_number": "626-288-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "MARY",
        "middle_name": "MINAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2025-11-22",
        "certification_date": "2025-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 127820 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0127820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

Verify at the official NPI Registry.