Active NPI
Jung Sook Choi, O.D
- Optometrist
- San Francisco, CA
National Provider Identifier
1740306471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12136 TPA
- Practice address
- 1630 Geary Blvd
San Francisco, CA 94115-3713 - Phone
- (415) 931-3737
- Fax
- (415) 931-3747
- NPI assigned
- Mar 22, 2007
- 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 | OPT12136 TPA | CA | Primary |
Addresses
Primary practice location
1630 Geary Blvd
San Francisco, CA 94115-3713
Mailing address
1630 Geary Blvd
San Francisco, CA 94115-3713
Phone (415) 931-3737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 943341933 | Other | CA | FEIN |
| SDO121360 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPT12136 TPA | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740306471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 GEARY BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153713",
"telephone_number": "415-931-3737",
"fax_number": "415-931-3747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 GEARY BLVD",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153713",
"telephone_number": "415-931-3737",
"fax_number": "415-931-3747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "JUNG",
"middle_name": "SOOK",
"name_prefix": "Dr.",
"credential": "O.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12136 TPA",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEIN",
"identifier": "943341933",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SDO121360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.