Elaine Chung OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELAINE CHUNG OD INC

Practice address

690 River Oaks Pkwy Ste 20
San Jose, CA 95134-3226

Phone

(408) 502-7636

Fax

(408) 502-7635

NPI assigned

Jul 1, 2022

Last updated

Jul 1, 2022By 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

Elaine Chung, OD

Title

President

Phone

(408) 502-7636

Specialties & licenses 1

Addresses

Locations

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.

• Debbi K. Fan, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1558375592
  NPD

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656633600000",
    "number": "1912630542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 RIVER OAKS PKWY STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951343226",
            "telephone_number": "408-502-7636",
            "fax_number": "408-502-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 RIVER OAKS PKWY STE 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951343226",
            "telephone_number": "408-502-7636",
            "fax_number": "408-502-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAINE CHUNG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-502-7636",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Camino Health Medical Network, LLC
• El Camino Hospital
• El Camino Hospital
• Seham F. El-Diwany, MD
• Rashid Sultan Elahi, M.D.
• Elaine Sinclair & Associates LLC
• Mariam Elaiwa, RPH
• Thomas John Elardo, DPM
• Ahmad Elarid
• Maha Elatta

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.