Individual provider Active NPI

Melissa Chong

  • Optometrist
  • El Monte, CA
National Provider Identifier
1720563752
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34114TLG Issued in CA
Practice address
10906 Valley Mall
El Monte, CA 91731-2616
Phone
(626) 579-2020
NPI assigned
Sep 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34114TLG CA Primary

Addresses

Primary practice location

10906 Valley Mall
El Monte, CA 91731-2616

Mailing address

PO Box 1650
Temple City, CA 91780-7650

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
I20190722001907 CA Practitioner - Optometry 4981930492 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34114TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Donna M Hong OD Inc Optometrist CurrentSince May 28, 2019 Accepting new patients
David D Carlton OD an Optometric Corporation Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Melissa Chong OD Optometry Corporation Optometrist CurrentSince Jul 1, 2023 Accepting new patients
Donna M Hong OD Inc Optometrist Current Accepting new patients
Donna M Hong OD Inc Optometrist CurrentSince May 28, 2019 Accepting new patients

Locations

5520 Whittier Blvd
Commerce, CA 90022
Phone (323) 721-6424

410 S Glendora Ave
Ste 110
Glendora, CA 91741
Phone (626) 335-4021

5940 Oak Ave
Unit 895
Temple City, CA 91780

Organizations & group practices 5

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": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1720563752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1650",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917807650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10906 VALLEY MALL",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312616",
            "telephone_number": "626-579-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34114TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.