Jason Jaehoon Chung, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00003954 Issued in WA

Practice address

1201 39TH Ave SW
Puyallup, WA 98373-3803

Phone

(425) 392-6745

NPI assigned

Aug 30, 2006

Sex

Male

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 WA

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

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Jayeon Vision

  • Optometrist
  • Puyallup, WA
  • NPI 1801423041
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508976168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 232ND AVENUE SE",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 39TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733803",
            "telephone_number": "425-392-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "JASON",
        "middle_name": "JAEHOON",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lichun Chu, DDS
• Ching Ju Chuang, D.M.D.
• Dennis Yi-Lun Chuang, M.D., PH.D.
• Hee-Kyung Chun, LSWAIC
• Chia J. Chung, MD
• Michelle S. Chung, DMD
• Pei Jung Chung
• Sang Yoon Chung, DMD
• Nga Tu Chuong, PHARMD
• Church Chiropractic Inc

• All providers in Puyallup, WA
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.