Jayeon Vision

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JAYEON VISION

Doing business as

Willows Eye Care

Practice address

13909 Meridian E Ste A3
Puyallup, WA 98373-9180

Phone

(253) 841-1575

Fax

(253) 840-5543

NPI assigned

Mar 26, 2020

Last updated

Jun 25, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason J Chung, ODNPI 1508976168

Title

Owner

Phone

(425) 444-1919

Specialties & licenses 1

Addresses

Other names 1

• Willows Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Jaehoon Chung, O.D

  • Optometrist
  • Puyallup, WA
  • NPI 1508976168
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1801423041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13204 96TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983735528",
            "telephone_number": "425-444-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13909 MERIDIAN E STE A3",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983739180",
            "telephone_number": "253-841-1575",
            "fax_number": "253-840-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAYEON VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-444-1919",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willows Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Willows Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jarascare LLC
• Mitali Jariwala
• Julia E Jarvis, PAC
• Jason Jaehoon Chung
• Shalomel E Jatau
• Jeff Nerio,DDS,Ms,PS,Inc
• Ashley Jefferson
• Tracie Marie Jefferson, PA-C
• Garrett Scott Jeffery, D.O.
• Jeffrey J Brus DMD PLLC (Meridian Dental care)

• Optometrist in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.