Organization Active NPI

Hon Q Chung Eyecare PA

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1477869618
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2645 Issued in AR
Legal business name
HON Q CHUNG EYECARE PA
Practice address
7320 Rogers Ave
Suite 14
Fort Smith, AR 72903-4166
Phone
(479) 452-9173
NPI assigned
Aug 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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

Authorized official

Name
Dr. Hon Q Chung, ODNPI 1275846750
Title
President
Phone
(479) 452-9173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2645 AR Primary

Addresses

Primary practice location

7320 Rogers Ave
Suite 14
Fort Smith, AR 72903-4166

Mailing address

7320 Rogers Ave
Suite 14
Fort Smith, AR 72903-4166
Phone (479) 452-9173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100920000041 AR Part B Supplier - Clinic/Group Practice 6709901325 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Smith, AR

National Provider Directory

National Provider Directory

Locations

616 S 17th St
#A
Fort Smith, AR 72901

616 S 17th St
Ste A
Fort Smith, AR 72901

7320 Rogers Ave
Ste 14
Fort Smith, AR 72903
Phone (479) 452-9173

2214 Fayetteville Rd
Van Buren, AR 72956
Phone (479) 279-0454

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1477869618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 ROGERS AVE",
            "address_2": "SUITE 14",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034166",
            "telephone_number": "479-452-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 ROGERS AVE",
            "address_2": "SUITE 14",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034166",
            "telephone_number": "479-452-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HON Q CHUNG EYECARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "HON",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-452-9173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.