Individual provider Active NPI

Mark Allen Chung, O.D.

  • Optometrist
  • West Hollywood, CA
National Provider Identifier
1841316833
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7904T Issued in CA
Practice address
8205 Santa Monica Blvd
Suite 15
West Hollywood, CA 90046-5967
Phone
(323) 650-0337
Fax
(323) 650-7783
NPI assigned
Mar 21, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7904T CA Primary
Corneal and Contact Management Optometrist 152WC0802X 7904T CA

Addresses

Primary practice location

8205 Santa Monica Blvd
Suite 15
West Hollywood, CA 90046-5967

Mailing address

8205 Santa Monica Blvd
Suite 15
West Hollywood, CA 90046-5967
Phone (323) 650-0337

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141211002148 CA Practitioner - Optometry 5395963433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

8205 Santa Monica Blvd
Suite 15
West Hollywood, CA 90046-5963
Phone (323) 650-0337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Oct 13, 2019 Accepting new patients
Marina Eyecare Center Optometrist Past Accepting new patients
Steven T Klein OD & Kimberly Plattner OD a Professional Corporation Optometrist Past Accepting new patients

Locations

338 E Hamilton Ave
Campbell, CA 95008
Phone (408) 866-2020

12461 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 390-6287

955 Carrillo Dr
Ste 105
Los Angeles, CA 90048
Phone (323) 332-9871

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

11717 Bernardo Plaza Ct
Ste 105
San Diego, CA 92128
Phone (858) 487-5555

12880 Carmel Country Rd
Ste D110
San Diego, CA 92130
Phone (858) 289-4820

8205 Santa Monica Blvd
West Hollywood, CA 90046
Phone (323) 650-0337

8205 Santa Monica Blvd
Ste 15
West Hollywood, CA 90046
Phone (323) 650-0337

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1841316833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 SANTA MONICA BLVD",
            "address_2": "SUITE 15",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465967",
            "telephone_number": "323-650-0337",
            "fax_number": "323-650-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 SANTA MONICA BLVD",
            "address_2": "SUITE 15",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465967",
            "telephone_number": "323-650-0337",
            "fax_number": "323-650-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7904T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "7904T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.