Individual provider Active NPI

Mark Cheung, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1639464555
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT14371TLG Issued in CA
Practice address
12716 Stockdale Hwy Ste 400
Bakersfield, CA 93314-3717
Phone
(661) 206-2830
Fax
(661) 206-2850
NPI assigned
Jun 20, 2011
Last updated
Oct 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT14371TLG CA Primary

Addresses

Primary practice location

12716 Stockdale Hwy Ste 400
Bakersfield, CA 93314-3717

Mailing address

12716 Stockdale Hwy Ste 400
Bakersfield, CA 93314-3717
Phone (661) 206-2830

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130103000254 CA Practitioner - Optometry 8123271939 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cha Medical and Surgical Group PCGroup PAC ID 7618216607, 11 clinicians

Practice addresses (Care Compare)

12716 Stockdale Hwy
Suite 400
Bakersfield, CA 93314-3717
Phone (661) 206-2830

8501 Brimhall Rd
Suite 402
Bakersfield, CA 93312-2257
Phone (661) 665-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14371CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cha Medical and Surgical Group, PC CurrentSince Jun 19, 2025 Accepting new patients
Southwest Eye Care Optometric Center, Inc Optometrist CurrentSince Apr 16, 2018 Accepting new patients
Mark Cheung OD PC Optometrist CurrentSince Mar 24, 2025 Accepting new patients
Charles D. Fritch, M.D., Inc PastSince Jun 19, 2025 Accepting new patients

Locations

12716 Stockdale Hwy
Ste 400
Bakersfield, CA 93314
Phone (661) 206-2830

4649 Planz Rd
Bakersfield, CA 93309
Phone (661) 393-2331

8501 Brimhall Rd
Ste 402
Bakersfield, CA 93312
Phone (661) 665-2020

1300 N Vermont Ave
Ste 101
Los Angeles, CA 90027
Phone (323) 644-4445

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg
  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/

Organizations & group practices 4

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1639464555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12716 STOCKDALE HWY STE 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933143717",
            "telephone_number": "661-206-2830",
            "fax_number": "661-206-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12716 STOCKDALE HWY STE 400",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933143717",
            "telephone_number": "661-206-2830",
            "fax_number": "661-206-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEUNG",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT14371TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.