Khin-Poh Oscar Chung, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP6186T Issued in CA

Practice address

217 Escondido Ave
Suite 1
Vista, CA 92084-6170

Phone

(760) 630-2020

Fax

(760) 634-6918

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

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.

• Vista Optometric Center

  • Optometrist
  • Vista, CA
  • NPI 1780701193
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629148515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ESCONDIDO AVE",
            "address_2": "SUITE 1",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846170",
            "telephone_number": "760-630-2020",
            "fax_number": "760-634-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ESCONDIDO AVE",
            "address_2": "SUITE 1",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846170",
            "telephone_number": "760-630-2020",
            "fax_number": "760-634-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "KHIN-POH",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP6186T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "SD0061861",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "SD0061860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Bentley, M.D. a Professional Corporation (MPOWR Orthopaedic Health)
• Christopher Henninger D M D Inc (North County Cosmetic and Implant Dentistry)
• Tyler Christy
• Marty Chumpitaz
• William Chun, RPH
• Jessica Cincotta
• Calin Cionca
• City of Vista California
• John Clancy, DO
• Tara Leigh Clancy, D.O.

• Optometrist in Vista, CA
• Providers in Vista, CA by specialty
• Optometrist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.