Jennie W Chun

Primary specialty

OptometristTaxonomy code 152W00000X

License

10716T Issued in CA

Legal business name

JENNIE W CHUN

Doing business as

Aloha Family Optometry

Practice address

1874 N Placentia Ave
Placentia, CA 92870-2303

Phone

(714) 996-3937

Fax

(714) 996-3938

NPI assigned

Nov 10, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Jennie W Chun, OD

Title

Owner

Phone

(714) 996-3937

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aloha Family Optometry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall R Chun, OD

  • Optometrist
  • Placentia, CA
  • NPI 1083669626
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1871574343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 N PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702303",
            "telephone_number": "714-996-3937",
            "fax_number": "714-996-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 N PLACENTIA AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702303",
            "telephone_number": "714-996-3937",
            "fax_number": "714-996-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIE W CHUN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-996-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10716T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloha Family Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Placentia, CA
• Providers in Placentia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.