Active NPI
Mia M Hung, O.D.
- Optometrist
- Chino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 9757 TPA
- Practice address
- 14335 Pipeline Ave
Chino, CA 91710-5642 - Phone
- (909) 628-8860
- Fax
- (909) 628-6120
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 9757 TPA | CA | Primary |
Addresses
Primary practice location
14335 Pipeline Ave
Chino, CA 91710-5642
Mailing address
21078 Jewel CT
Diamond Bar, CA 91765-4038
Phone (909) 628-8860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0097570 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14461 Merced Ave
Suite 101
Baldwin Park, CA 91706-5173
Phone (626) 939-4588
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 9757 TPA | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innova Healthcare | Optometrist | Current | Accepting new patients |
| Primigenia Optometry Inc | Optometrist | Current | Accepting new patients |
| Today'S Vision Baybrook Associates PA | Optometrist | Past | Accepting new patients |
Locations
14461 Merced Ave
Ste 101
Baldwin Park, CA 91706
Phone (626) 939-4588
14335 Pipeline Ave
Ste A5
Chino, CA 91710
Phone (909) 628-8860
14510 Baldwin Park Towne Ctr
Ste G3
Irwindale, CA 91706
Phone (626) 939-4588
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1720191505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21078 JEWEL CT",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654038",
"telephone_number": "909-628-8860",
"fax_number": "909-628-6120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14335 PIPELINE AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917105642",
"telephone_number": "909-628-8860",
"fax_number": "909-628-6120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNG",
"first_name": "MIA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 9757 TPA",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0097570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.