Individual provider Active NPI

Steven Chung

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1821769407
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1115 Issued in NV
Practice address
6455 S Rainbow Blvd # 100
Las Vegas, NV 89118-3215
Phone
(702) 802-4390
NPI assigned
Sep 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1115 NV Primary

Addresses

Primary practice location

6455 S Rainbow Blvd # 100
Las Vegas, NV 89118-3215

Mailing address

6455 S Rainbow Blvd # 100
Las Vegas, NV 89118-3215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20211028000953 NV Practitioner - Optometry 4981092707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
7 Hills Vision Center LLCGroup PAC ID 0547561821, 2 clinicians

Practice addresses (Care Compare)

10608 S Eastern Ave
Suite Handi
Henderson, NV 89052-2978
Phone (702) 617-2750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1115NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Center IV LLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
7 Hills Vision Center LLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Northwest Vision Center LLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients

Locations

10608 S Eastern Ave
Ste Hi
Henderson, NV 89052
Phone (702) 617-2750

4343 N Rancho Dr
Ste 116
Las Vegas, NV 89130
Phone (702) 656-6144

6455 S Rainbow Blvd
#100
Las Vegas, NV 89118
Phone (702) 802-4390

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1821769407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 S RAINBOW BLVD # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 S RAINBOW BLVD # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183215",
            "telephone_number": "702-802-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.