Individual provider Active NPI

Anh Q Chung, OD

  • Optometrist
  • Paris, AR
National Provider Identifier
1689725970
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2579 Issued in AR
Practice address
25 E. Walnut
Paris, AR 72855
Phone
(479) 963-2661
Fax
(479) 963-6821
NPI assigned
Jan 15, 2007
Last updated
Apr 22, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2579 AR Primary

Addresses

Primary practice location

25 E. Walnut
Paris, AR 72855

Mailing address

P.O. Box 647
Paris, AR 72855
Phone (479) 963-2661

Other identifiers 1

IdentifierTypeStateIssuer
181100722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20070717000664 AR Practitioner - Optometry 0446350615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chung Eye Care PAGroup PAC ID 6608898192, 2 clinicians

Practice addresses (Care Compare)

106 N 5TH St
Ozark, AR 72949-2706
Phone (479) 667-3809

25 E Walnut St
Paris, AR 72855-3911
Phone (479) 963-2661

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chung Eye Care, PA Optometrist CurrentSince May 1, 2009 Accepting new patients

Locations

106 N 5th St
Ozark, AR 72949
Phone (479) 667-3809

506 W Commercial St
Ozark, AR 72949
Phone (479) 667-3809

25 E Walnut St
Paris, AR 72855
Phone (479) 963-2661

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, 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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303430400000",
    "number": "1689725970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 647",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "72855",
            "telephone_number": "479-963-2661",
            "fax_number": "479-963-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E. WALNUT",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "72855",
            "telephone_number": "479-963-2661",
            "fax_number": "479-963-6821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "ANH",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181100722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, AR

Sources for this page

Verify at the official NPI Registry.