Individual provider Active NPI

Jung Choe, ABOC

  • Optician
  • Irvine, CA
National Provider Identifier
1710693890
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
175668 Issued in CA
Practice address
4200 Trabuco Rd Ste 100
Irvine, CA 92620-3617
Phone
(949) 932-0961
NPI assigned
Jan 23, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 175668 CA Primary

Addresses

Primary practice location

4200 Trabuco Rd Ste 100
Irvine, CA 92620-3617

Mailing address

4200 Trabuco Rd Ste 100
Irvine, CA 92620-3617
Phone (949) 932-0961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
175668CAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
K-Top Optometry Inc. CurrentSince Mar 5, 2023 Accepting new patients

Locations

4200 Trabuco Rd
Ste 100
Irvine, CA 92620
Phone (949) 932-0961

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1710693890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203617",
            "telephone_number": "949-932-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TRABUCO RD STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203617",
            "telephone_number": "949-932-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "JUNG",
        "credential": "ABOC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "175668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.