Jacqueline H. Tung, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT12743TPA Issued in CA

Practice address

967 E Hillsdale Blvd
Suite B1
Foster City, CA 94404-2112

Phone

(650) 286-1388

Fax

(650) 268-8645

NPI assigned

Aug 31, 2006

Sex

Female

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 CA

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

State licenses

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.

• Eye Health Optometry, Inc

  • Optometrist
  • Newark, CA
  • NPI 1831834563
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1619089323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 E HILLSDALE BLVD",
            "address_2": "SUITE B1",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042112",
            "telephone_number": "650-286-1388",
            "fax_number": "650-268-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "967 E HILLSDALE BLVD",
            "address_2": "SUITE B1",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944042112",
            "telephone_number": "650-286-1388",
            "fax_number": "650-268-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNG",
        "first_name": "JACQUELINE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT12743TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yenyen Tran
• David Perry Traver, M.D.
• Henry Hien-Van Truong, PHARM.D
• Torryn Tulloch
• Alice Hsien Tien Tung
• Unified Health Insurance Services
• Unique Remedy
• Unique Remedy Acupuncture Inc
• United Plus, LLC
• Danielle Nicole Bankson Vaca, LMFT

• Optometrist in Foster City, CA
• Providers in Foster City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.