MYUNG H JUNG (NPI# 1750636726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750636726 |
| Entity Type | Individual |
| Full Name | MYUNG H JUNG |
| Credential | O.D. |
| Practice Address |
2517 Ne Kresky Ave Chehalis WA 98532-2409 |
| Mailing Address |
Po Box 1506 Chehalis WA 98532-0409 |
| Practice Telephone | 3607488632 |
| Practice Fax Number | 3607483869 |
| Mailing Telephone | 3602423008 |
| Mailing Fax Number | 3608077687 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2016-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD60394858 | WA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 3523AT | OR | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 27OA00642700 | NJ | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 007851 | NY | Eye and Vision Services Providers |
| Street Address |
2517 NE KRESKY AVE |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-2409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952304198 | Paul Kurtis Anderson | Nurse Anesthetist, Certified Registered | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2005-05-23 |
| 1487821633 | Pacific Cataract and Laser Institute Inc PC | Clinic/Center | 2517 Ne Kresky Ave, Chehalis, WA 98532 | 2008-05-15 |
| 1598959108 | Robert Marshall Ford | Ophthalmology | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2007-08-28 |
| 1457559072 | Mark Allen Maraman | Optometrist | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2007-07-05 |
| 1730396326 | Jason Leng | Ophthalmology | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2007-05-16 |
| 1891862769 | David Gano | Ophthalmology | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-11-29 |
| 1992874069 | Donald Allen Zinke | Nurse Anesthetist, Certified Registered | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-11-06 |
| 1881701761 | David L Stanfield | Optometrist | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-08-24 |
| 1376650267 | Ronald K Sugiyama | Ophthalmology | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-08-24 |
| 1235246141 | Christopher M Whaley | Nurse Anesthetist, Certified Registered | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699874420 | John C Stoddard | Optometrist | 1179 S Market Blvd, Chehalis, WA 98532-3427 | 2006-09-21 |
| 1609841469 | Jay Valentine Gallinger | Optometrist | 66 Nw Boistfort St, Chehalis, WA 98532-2003 | 2006-02-22 |
| 1497730246 | Eva Donna Walker | Optometrist | 121 Widgeon Hill Rd, Chehalis, WA 98532-9515 | 2005-12-14 |
| 1609145168 | Dupree Optometry Inc | Optometrist | 1601 Nw Louisiana Ave, Chehalis, WA 98532-1700 | 2011-12-29 |
| 1457559072 | Mark Allen Maraman | Optometrist | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2007-07-05 |
| 1740389519 | Robert P Burrows | Optometrist | 1179 S Market Blvd, Chehalis, WA 98532-3427 | 2006-09-21 |
| 1871697235 | David Wayne Dupree | Optometrist | 1601 Nw Louisiana Ave, Chehalis, WA 98532-1700 | 2006-09-07 |
| 1881701761 | David L Stanfield | Optometrist | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-08-24 |
| 1619084910 | Shaun Keith Coombs | Optometrist | 2517 Ne Kresky Ave, Chehalis, WA 98532-2409 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544101 | Destiny Nicole Mccoy | Optometrist | 19400 108th Ave Se Ste 202, Kent, WA 98031-0108 | 2020-09-25 |
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1962011320 | Kristine Marie Hackett | Optometrist | 19301 Se 34th St Ste 104, Camas, WA 98607-8881 | 2020-07-30 |
| 1245857044 | Minha Lee | Optometrist | 1468 158th Pl Ne, Bellevue, WA 98008-2782 | 2020-06-29 |
| 1437774734 | Vision Plus of Barkley Pllc | Optometrist | 2900 Woburn St Ste 101, Bellingham, WA 98226-3865 | 2020-06-11 |
| 1558985671 | Tiffany Lundberg | Optometrist | 2010 W Lincoln Ave Ste 1, Yakima, WA 98902-2413 | 2020-06-04 |
| 1801423041 | Jayeon Vision | Optometrist | 13909 Meridian E Ste A3, Puyallup, WA 98373-9180 | 2020-03-26 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1942832845 | Trinity Vision Pllc | Optometrist | 4750 N Division St Ste 282, Spokane, WA 99207-1433 | 2020-02-07 |
| 1104464536 | Washington Eyes, LLC | Optometrist | 5011 W Lowell Ave Ste 120, Spokane, WA 99208-8587 | 2019-12-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.