Individual provider Active NPI

Albert K. Chun, O.D.

  • Optometrist
  • Torrance, CA
National Provider Identifier
1952378010
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8210T Issued in CA
Practice address
3537 Torrance Blvd
Suite 18
Torrance, CA 90503-4818
Phone
(310) 543-3555
Fax
(310) 540-8363
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8210T CA Primary
Optometrist 152W00000X 220 HI
Vision Therapy Optometrist 152WV0400X 8210T CA

Addresses

Primary practice location

3537 Torrance Blvd
Suite 18
Torrance, CA 90503-4818

Mailing address

3537 Torrance Blvd
Suite 18
Torrance, CA 90503-4818
Phone (310) 543-3555

Other identifiers 4

IdentifierTypeStateIssuer
220OtherHISTATE OPTOMETRIC LICENSE
4827390001OtherCAMEDICARE DMEPOS
SD0082100MedicaidCA
8210TOtherCASTATE OPTOMETRIC LICENSE

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
I20101230000860 CA Practitioner - Optometry 3072701341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Bay Optometry IncGroup PAC ID 3173764057, 2 clinicians

Practice addresses (Care Compare)

3537 Torrance Blvd
Suite 18
Torrance, CA 90503-4818
Phone (310) 543-3555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
220HIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Optometry, Inc. Optometrist CurrentSince Apr 13, 2013 Accepting new patients

Locations

3537 Torrance Blvd
Ste 18
Torrance, CA 90503
Phone (310) 540-7500

Organizations & group practices 1

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1952378010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 TORRANCE BLVD",
            "address_2": "SUITE 18",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034818",
            "telephone_number": "310-543-3555",
            "fax_number": "310-540-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 TORRANCE BLVD",
            "address_2": "SUITE 18",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034818",
            "telephone_number": "310-543-3555",
            "fax_number": "310-540-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "ALBERT",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8210T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "220",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "8210T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPTOMETRIC LICENSE",
            "identifier": "220",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "4827390001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0082100",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPTOMETRIC LICENSE",
            "identifier": "8210T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.