Derrick Y Chung, OD
Optometrist in Seabrook, New Hampshire
1386876282- Practice location
- 779 Lafayette RD. Unit 5, Seabrook, NH 03874-4351
- Phone
- 603-474-3781
- Fax
- 603-574-4839
- Last updated
- January 9, 2024
Derrick Y. Chung is an Optometrist based in Seabrook, NH. Derrick Y. Chung practices in Seabrook, NH and has the professional credentials of OD. The NPI Number for Derrick Y. Chung is 1386876282 and holds a License No. 4758 (MA). The current practice location address for Derrick Y. Chung is 779 Lafayette RD. Unit 5, Seabrook, NH 03874-4351 and can be reached out via phone at 603-474-3781 and via fax at 603-574-4839.
Provider Profile Details
- NPI Number
- 1386876282
- Provider Name
- Derrick Y. Chung
- Credential
- OD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 779 Lafayette RD. Unit 5, Seabrook, NH 03874-4351
- Phone Number
- 603-474-3781
- Fax Number
- 603-574-4839
- Primary Taxonomy
- Optometrist · 152W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 12, 2009
- Last Update Date
- January 9, 2024
- Certification Date
- January 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 779 Lafayette RD. Unit 5
Seabrook, NH 03874-4351 - City
- Seabrook
- State
- New Hampshire
- Zip
- 03874-4351
- Phone Number
- 603-474-3781
- Fax Number
- 603-574-4839
Provider Business Mailing Address Details
- Address
- Po Box 1251
Saugus, MA 01906-0551 - City
- Saugus
- State
- MA
- Zip
- 01906-0551
- Fax Number
- 603-574-4839
License Information
- License Number (1)
- 4758
- License State (1)
- MA
- Taxonomy (1)
- Optometrist · 152W00000X · Primary
- License Number (2)
- 123639
- License State (2)
- IA
- Taxonomy (2)
- Dental Laboratory Technician · 126900000X
- License Number (3)
- ODTG00564
- License State (3)
- RI
- Taxonomy (3)
- Optometrist · 152W00000X
- License Number (4)
- 0859
- License State (4)
- NH
- Taxonomy (4)
- Optometrist · 152W00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Derrick Y Chung, OD?
The NPI number of Derrick Y Chung, OD is 1386876282. It was assigned on August 12, 2009 and is currently active in the NPPES registry.
What is the specialty of Derrick Y Chung, OD?
Derrick Y Chung, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in MA under license number 4758.
Where does Derrick Y Chung, OD practice?
The practice location is 779 Lafayette RD. Unit 5, Seabrook, NH 03874-4351. The office can be reached at 603-474-3781 (phone) or 603-574-4839 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386876282 directly on the NPPES registry website.