DR. MIMI MERRILLYN CHUNG (NPI# 1467871194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467871194 |
| Entity Type | Individual |
| Full Name | DR. MIMI MERRILLYN CHUNG |
| Credential | M.D. |
| Practice Address |
1400 N. Ritter, #281 Community East Community Eye Care of Indiana, Inc. Indianapolis IN 46219 |
| Practice Telephone | 3173578663 |
| Practice Fax Number | 3178190775 |
| Mailing Telephone | 3173578663 |
| Mailing Fax Number | 3178190775 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2016-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 01044788A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740312834 | Mimi Chung | Social Worker | 1000 Goodrich Blvd, Commerce, CA 90022-5103 | 2007-03-12 |
| Street Address |
1400 N. RITTER, #281 COMMUNITY EAST COMMUNITY EYE CARE OF INDIANA, INC. |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860947 | Timecertain, PC | Ophthalmology | 3530 S Keystone Ave, Indianapolis, IN 46227-3611 | 2020-04-23 |
| 1316566797 | Visionary Eye Specialists LLC | Ophthalmology | 9002 N Meridian St Ste 112, Indianapolis, IN 46260-5349 | 2020-04-15 |
| 1356703821 | Anjulie Gang | Ophthalmology | 9002 N Meridian St Ste 100, Indianapolis, IN 46260-5354 | 2016-03-24 |
| 1215302567 | Chad R. Kauffman, Do, LLC | Ophthalmology | 7615 Dean Rd, Indianapolis, IN 46240-3635 | 2015-12-10 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1760756407 | George J Quigley | Ophthalmology | 7810 Providence Cir, Indianapolis, IN 46250-2267 | 2012-02-27 |
| 1962773572 | James Joseph Mccallum | Ophthalmology | 1225 Alderly Rd, Indianapolis, IN 46260-1622 | 2012-01-13 |
| 1003106824 | Frank N. Hrisomalos | Ophthalmology | 10300 N Illinois St Ste 1070, Indianapolis, IN 46290-1167 | 2011-04-13 |
| 1104065606 | Marissa Malen | Ophthalmology | 702 Rotary Cir # 115b, Indianapolis, IN 46202-5133 | 2009-02-07 |
| 1356525836 | Louis Cantor, Md, LLC | Ophthalmology | 550 University Blvd Ste 3080, Indianapolis, IN 46202-5149 | 2007-12-20 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.