Individual provider Active NPI

Julie Eunyoung Cho, O.D.

  • Optometrist
  • Ellicott City, MD
National Provider Identifier
1558592204
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1255 Issued in MD
Practice address
8815 Baltimore National Pike
Ellicott City, MD 21043-4154
Phone
(410) 461-8606
Fax
(410) 461-8604
NPI assigned
Jul 29, 2009
Last updated
Sep 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1255 MD Primary
Corneal and Contact Management Optometrist 152WC0802X TA1255 MD

Addresses

Primary practice location

8815 Baltimore National Pike
Ellicott City, MD 21043-4154

Mailing address

8815-A Baltimore National Pike
Ellicott City, MD 21043
Phone (410) 461-8606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100216000133 MD Practitioner - Optometry 3375687247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cho and Cho Professional, Inc.Group PAC ID 6406990373, 3 clinicians

Practice addresses (Care Compare)

4785 Dorsey Hall Dr
Suite 108
Ellicott City, MD 21042-7740

4785 Dorsey Hall Dr
Suite 108
Ellicott City, MD 21042-7862
Phone (410) 461-8606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1255MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cho & Cho Professional, Inc. Optometrist CurrentSince Feb 23, 2010 Accepting new patients

Locations

8900 Columbia 100 Pkwy
Ste L
Columbia, MD 21045
Phone (410) 884-5508

4785 Dorsey Hall Dr
Ste 108
Ellicott City, MD 21042
Phone (410) 461-8606

8815 Baltimore National Pike
Ste A
Ellicott City, MD 21043
Phone (410) 461-8606

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1558592204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815-A BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "21043",
            "telephone_number": "410-461-8606",
            "fax_number": "410-461-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 BALTIMORE NATIONAL PIKE",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210434154",
            "telephone_number": "410-461-8606",
            "fax_number": "410-461-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "JULIE",
        "middle_name": "EUNYOUNG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1255",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MD",
            "license": "TA1255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.