Bunthay Chorn Tan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT13240TPA Issued in CA

Practice address

5531 E Stearns St
Suite a
Long Beach, CA 90815-3125

Phone

(562) 596-3838

Fax

(562) 596-3835

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Bunthay Chorn Former name

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bunthay Chorn OD Inc

  • Optometrist
  • Long Beach, CA
  • NPI 1003249483
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1780798496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 E STEARNS ST",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153125",
            "telephone_number": "562-596-3838",
            "fax_number": "562-596-3835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5531 E STEARNS ST",
            "address_2": "SUITE A",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153125",
            "telephone_number": "562-596-3838",
            "fax_number": "562-596-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "BUNTHAY",
        "middle_name": "CHORN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007041",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13240TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BUNTHAY",
            "last_name": "CHORN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Jennifer Tamburri
• Ai Tamiya
• Tammy N. Tran, D.D.S., Inc.
• Agnes Tan, NP
• Amy Phuongque Tan, PHARM.D
• Christopher Adi Tan, MD
• Jesse William Tan, MD
• Jesus King Tan, MD
• Joanna Ai Wan Tan, M.D.
• Jofel Tan, OTD, OTR/L

• Optometrist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.