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NPI Code Detail

MEDICARE: EMILY G CHONG OD

MEDICARE:   EMILY G CHONG  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist046.012045IL

General Provider Information

NPI Number : 1699562660
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY G CHONG OD
Provider Business Mailing Address
First Line : 2804 BRESSO CT
Second Line :
City : LIVERMORE
State : CA
Zip : 94550-6570
Country : US
Telephone Number : 925-518-4245
Fax Number :
Provider Business Practice Location Address
First Line : 820 S DAMEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60612-3728
Country : US
Telephone Number : 312-569-7501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2025
Last Update Date : 03/05/2026

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