NPI Code Detail JSON Logo

1831322825 NPI number — KEVIN CHUNG O.D.

NPI Number: 1831322825
Health Care Provider/Practitioner: KEVIN CHUNG O.D.

Information about “1831322825” NPI (KEVIN CHUNG O.D.) exists in 1831322825 in HTML format HTML  |  1831322825 in plain Text format TXT  |  1831322825 in PDF (Portable Document Format) PDF  |  1831322825 in an XML format XML  formats.

NPI Number : 1831322825 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831322825",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHUNG",
    "FirstName": "KEVIN",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "O.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "100 N PARK RD",
    "SecondLineMailingAddress": "APT 1250",
    "MailingAddressCityName": "WYOMISSING",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19610-3044",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "484-772-0644",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "752 S 25TH ST",
    "SecondLinePracticeLocationAddress": "EYELAND",
    "PracticeLocationAddressCityName": "EASTON",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "18042-5337",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "610-253-3939",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/25/2009",
    "LastUpdateDate": "12/20/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "007476",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "152W00000X",
          "TaxonomyName": "Optometrist",
          "LicenseNumber": "OEG002552",
          "LicenseNumberStateCode": "PA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.