| Nellie Chung, OD | |
|
1046 Nw Johnson St, Portland, OR 97209-3161 | |
| (503) 944-5567 | |
| (503) 944-5471 |
| Full Name | Nellie Chung |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1046 Nw Johnson St, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588216519 | NPI | - | NPPES |
| ATI4496 | Other | OR | OR STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD60961378 (Washington) | Secondary |
| 152W00000X | Optometrist | ATI4496 (Oregon) | Primary |
| Provider Name | Eye Health Northwest Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1619959731 PECOS PAC ID: 9234039926 Enrollment ID: O20040109000739 |
| Provider Name | Dr Han Tran & Associates Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396109039 PECOS PAC ID: 4183915481 Enrollment ID: O20160616001011 |
| Provider Name | Pacific Eye Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831656925 PECOS PAC ID: 1355682246 Enrollment ID: O20190402001264 |
| Mailing Address | Practice Location Address |
|---|---|
| Nellie Chung, OD 1046 Nw Johnson St, Portland, OR 97209 Ph: (503) 944-5567 | Nellie Chung, OD 1046 Nw Johnson St, Portland, OR 97209-3161 Ph: (503) 944-5567 |
Mrs. Ayla Jade Himmelsbach, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7826 Sw Capitol Hwy, Portland, OR 97219 Phone: 503-224-7788 | |
Eyedentity Vision Center P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2609 Se Clinton St, Portland, OR 97202 Phone: 503-238-1139 Fax: 503-235-6574 | |
On Sight Optical, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4542 Ne Martin Luther King Jr Blvd, Portland, OR 97211 Phone: 503-228-2154 Fax: 503-228-4694 | |
Dr. Larry E Robertson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12100 Se Stevens Ct Ste 106, Portland, OR 97266 Phone: 503-653-1442 | |
Dr. Kim M Clark & Associates Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12000 Se 82nd Avenue, #2012, Portland, OR 97266 Phone: 503-652-6001 Fax: 503-652-6012 | |
Dr. Laura Mae Armstrong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2021 Ne Alberta St, Portland, OR 97211 Phone: 503-384-2489 Fax: 503-379-9488 | |
Dr. Hayden Minh Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8315 Se Stark St, Portland, OR 97216 Phone: 503-282-3070 Fax: 503-287-3482 |