Active NPIIndividual provider

Chung Y Song, OD

Optometrist in New York City, New York

NPI Number1588637987
Practice location
901 Sixth Avenue, Herald Square Optometric Associates PC, New York City, NY 10001
Fax
212-967-2101
Last updated
March 14, 2008

Chung Yong Song is an Optometrist based in New York City, NY. Chung Yong Song practices in New York City, NY and has the professional credentials of OD. The NPI Number for Chung Yong Song is 1588637987 and holds a License No. VUT005241 (NY). The current practice location address for Chung Yong Song is 901 Sixth Avenue, Herald Square Optometric Associates PC, New York City, NY 10001 and can be reached out via phone at 212-967-4177 and via fax at 212-967-2101.

Provider Profile Details

NPI Number
1588637987
Provider Name
Chung Yong Song
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
901 Sixth Avenue, Herald Square Optometric Associates PC, New York City, NY 10001
Phone Number
212-967-4177
Fax Number
212-967-2101
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
No
Provider Enumeration Date
February 8, 2006
Last Update Date
March 14, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
901 Sixth Avenue
Herald Square Optometric Associates PC
New York City, NY 10001
Zip
10001
Phone Number
212-967-4177
Fax Number
212-967-2101
New York City, NY 10001Get directions →

Provider Business Mailing Address Details

Address
1323 Echo Hill Path
Yorktown Heights, NY 10598
City
Yorktown Heights
State
NY
Zip
10598
Phone Number
914-962-7455
Fax Number
212-967-2101

License Information

License Number
VUT005241
License State
NY
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Chung Y Song, OD?

The NPI number of Chung Y Song, OD is 1588637987. It was assigned on February 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Chung Y Song, OD?

Chung Y Song, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in NY under license number VUT005241.

Where does Chung Y Song, OD practice?

The practice location is 901 Sixth Avenue, Herald Square Optometric Associates PC, New York City, NY 10001. The office can be reached at 212-967-4177 (phone) or 212-967-2101 (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 1588637987 directly on the NPPES registry website.

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