Individual provider Active NPI

Jia Ying Chuong, OD

  • Optometrist
  • Plano, TX
National Provider Identifier
1568035491
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10216T Issued in TX
Practice address
6209 Chapel Hill Blvd Ste 100
Plano, TX 75093-8488
Phone
(972) 378-0707
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10216T TX Primary

Addresses

Primary practice location

6209 Chapel Hill Blvd Ste 100
Plano, TX 75093-8488

Mailing address

6209 Chapel Hill Blvd Ste 100
Plano, TX 75093-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10216TXMDPeriodontist
10216TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince May 28, 2022 Accepting new patients

Locations

6209 Chapel Hill Blvd
Ste 100
Plano, TX 75093
Phone (972) 250-2733

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640476800000",
    "number": "1568035491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 CHAPEL HILL BLVD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 CHAPEL HILL BLVD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938488",
            "telephone_number": "972-378-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUONG",
        "first_name": "JIA YING",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10216T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.