Jason Jaehoon Chung

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

3954 Issued in WA

Legal business name

JASON JAEHOON CHUNG

Practice address

1201 39TH Ave SW
Puyallup, WA 98373-3803

Phone

(253) 435-0622

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason J Chung, O.D.

Title

Optometrist

Phone

(253) 435-0622

Specialties & licenses 1

Addresses

Other names 1

• Advanced Puyallup Eyecare Other name

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1770606089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 39TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733803",
            "telephone_number": "253-435-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 39TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983733803",
            "telephone_number": "253-435-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON JAEHOON CHUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "253-435-0622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "3954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Puyallup Eyecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Peter Kelley Janicki, PT
• Nicole Lee Jaramillo, COTA/L.
• Jarascare LLC
• Mitali Jariwala
• Julia E Jarvis, PAC
• Shalomel E Jatau
• Jayeon Vision (Willows Eye Care)
• Jeff Nerio,DDS,Ms,PS,Inc
• Ashley Jefferson
• Tracie Marie Jefferson, PA-C

• Preferred Provider Organization in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.