Kantha T Chhuon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13365 Issued in CA

Practice address

30 The Shops at Mission Viejo
Mission Viejo, CA 92691-6527

Phone

(949) 364-4010

Fax

(949) 364-4001

NPI assigned

Sep 5, 2007

Last updated

Sep 5, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Kantha Chhuon, O.D., Professional Optometry Corporation

  • Optometrist
  • Duarte, CA
  • NPI 1447012216
  NPD Authorized official
• Luxottica of America Inc.

  dba Lenscrafters #611

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1598959397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SAINT LOUIS AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043435",
            "telephone_number": "312-933-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 THE SHOPS AT MISSION VIEJO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916527",
            "telephone_number": "949-364-4010",
            "fax_number": "949-364-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHUON",
        "first_name": "KANTHA",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chengtai Inc (Ear Tech Hearing Aid Center)
• Gregory A Cherney, D.C.
• Roxanne S Cherry, PH.D. MFT
• Shabnam Shahparnia Cherry, MA, MFT
• Chest and Critical Care Consultants (Southern California Sleep Disorder Specialists)
• Joo Hae CHI, O.D.
• Maria Tan Fang Chiang, PHARM. D.
• Children's Hospital at Mission (Rady Children's Hospital)
• Diane Chiri, PT
• Fereshteh Chitsaz, PHARMACIST

• Optometrist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.