Active NPI
Jean Yock Jung, O.D.
- Optometrist
- Montrose, NY
National Provider Identifier
1922067248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 005358
- Practice address
- 2094 Albany Post Road
VA Hudson Valley Healthcare System Optometry Service
Montrose, NY 10548 - Phone
- (914) 737-4400
- Fax
- (914) 788-4373
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 005358 | NY | Primary |
Addresses
Primary practice location
2094 Albany Post Road
VA Hudson Valley Healthcare System Optometry Service
Montrose, NY 10548
Mailing address
2094 Albany Post Road
VA Hudson Valley Healthcare System Optometry Service
Montrose, NY 10548
Phone (914) 737-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110406000941 | NY | Order and Referring Only - Optometry | 9931383494 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1922067248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2094 ALBANY POST ROAD",
"address_2": "VA HUDSON VALLEY HEALTHCARE SYSTEM OPTOMETRY SERVICE",
"city": "MONTROSE",
"state": "NY",
"postal_code": "10548",
"telephone_number": "914-737-4400",
"fax_number": "914-788-4373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2094 ALBANY POST ROAD",
"address_2": "VA HUDSON VALLEY HEALTHCARE SYSTEM OPTOMETRY SERVICE",
"city": "MONTROSE",
"state": "NY",
"postal_code": "10548",
"telephone_number": "914-737-4400",
"fax_number": "914-788-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "JEAN",
"middle_name": "YOCK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "005358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.