Mrs Kathleen H Chung, OD | |
25 E. Walnut, Paris, AR 72855 | |
(479) 963-2661 | |
(479) 963-6821 |
Full Name | Mrs Kathleen H Chung |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 25 E. Walnut, Paris, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619939832 | NPI | - | NPPES |
5N406 | Other | AR | BLUE CROSS AND BLUE SHIEL |
159554722 | Medicaid | AR | |
159544722 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2564 (Arkansas) | Primary |
Provider Name | Chung Eye Care Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396897013 PECOS PAC ID: 6608898192 Enrollment ID: O20051227000624 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kathleen H Chung, OD P.o. Box 647, Paris, AR 72855 Ph: (479) 963-2661 | Mrs Kathleen H Chung, OD 25 E. Walnut, Paris, AR 72855 Ph: (479) 963-2661 |
Ronny Bowman Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 503 W Pine St, Paris, AR 72855 Phone: 479-438-2604 | |
Arkansas Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 25 E. Walnut, Paris, AR 72855 Phone: 479-963-2661 Fax: 479-963-6821 | |
Dr. Anh Q Chung, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25 E. Walnut, Paris, AR 72855 Phone: 479-963-2661 Fax: 479-963-6821 |