Individual provider Active NPI

Tsungming Hung, O.D.

  • Optometrist
  • South San Francisco, CA
National Provider Identifier
1750827374
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34193 Issued in CA
Practice address
1600 El Camino Real
South San Francisco, CA 94080-1206
Phone
(650) 992-5881
NPI assigned
Jan 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34193 CA Primary

Addresses

Primary practice location

1600 El Camino Real
South San Francisco, CA 94080-1206

Mailing address

451 S Airport Blvd
South San Francisco, CA 94080-6909

Other practice location 1

451 S Airport Blvd
South San Francisco, CA 94080-6909
Phone (650) 589-3128

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
I20190404002457 CA Practitioner - Optometry 3577845379 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Massachusetts Professional PC Optometrist CurrentSince Sep 7, 2022 Accepting new patients
Carole L. Hong & Kristina Stasko, PTRS PastSince Mar 1, 2019 Accepting new patients

Locations

30 Turnpike Rd
Ste 7
Southborough, MA 01772
Phone (508) 481-8558

Organizations & group practices 3

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": "1483747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1750827374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S AIRPORT BLVD",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940806909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 EL CAMINO REAL",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801206",
            "telephone_number": "650-992-5881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 S Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940806909",
            "country_code": "US",
            "telephone_number": "650-589-3128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNG",
        "first_name": "TSUNGMING",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-07",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.