Active NPI
Jesse I Chon, OD
- Optometrist
- Vancouver, WA
National Provider Identifier
1770672255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3726
- Practice address
- 221E NE 104TH Ave
Vancouver, WA 98664-4599 - Phone
- (360) 885-1546
- NPI assigned
- Oct 12, 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 | 3726 | WA | Primary |
Addresses
Primary practice location
221E NE 104TH Ave
Vancouver, WA 98664-4599
Mailing address
29307 NE 85TH Cir
Camas, WA 98607-7058
Phone (360) 600-6939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141017002171 | WA | Order and Referring Only - Optometry | 8820219751 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3726 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740873600000",
"number": "1770672255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29307 NE 85TH CIR",
"city": "CAMAS",
"state": "WA",
"postal_code": "986077058",
"telephone_number": "360-600-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221E NE 104TH AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986644599",
"telephone_number": "360-885-1546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHON",
"first_name": "JESSE",
"middle_name": "I",
"name_prefix": "Mrs.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2025-03-02",
"certification_date": "2025-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "3726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.