| 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 | |
Chung Eye Care, Pa 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 |