SHU SHENG PHUNG


Address: 315 S Center St, Bloomington, IL 61701-5101
Phone: 3098272337

SHU SHENG PHUNG (NPI# 1558661918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558661918
Entity Type Individual
Full Name SHU SHENG PHUNG
Credential OD
Practice Address 315 S Center St
Bloomington
IL 61701-5101
Mailing Address 2670 Dekalb Ave
Sycamore
IL 60178-3110
Practice Telephone 3098272337
Mailing Telephone 8158953937
Enumeration Date 2010-11-01
Last Update Date 2015-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 046.010355 IL Eye and Vision Services Providers

Office Location

Street Address 315 S CENTER ST
City BLOOMINGTON
State IL
Zip Code 61701-5101

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770140964 County of Mclean Community/Behavioral Health 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 2019-05-22
1023525292 Karli Johnson Counselor 200 W Monroe St Ste C7, Bloomington, IL 61701 2018-01-09
1487172409 Melody Ann Bauman Physician Assistant 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 2017-08-30
1215396288 Heidi Larsen Social Worker 902 S East St, Bloomington, IL 61701 2016-02-18
1558735126 Andrea E. Andrews Counseling LLC Counselor 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 2015-11-19
1174924856 Carole Hahn Dietitian, Registered 1406 Forrest St, Bloomington, IL 61701 2014-09-12
1558786392 Valerie Colleen Parker Counselor 109 W. Mulberry St., Bloomington, IL 61701 2014-03-04
1124459219 Matilde Francois Surgery 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 2013-11-27
1922435114 Smitha H Shivaprasad Pharmacist 2611 East Oakland Avenue, Bloomington, IL 61701 2013-10-02
1295161941 Ashvin Patel Obstetrics & Gynecology 31 Country Club Pl, Bloomington, IL 61701 2013-09-25
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518430859 Visionpoint Eye Center LLC Optometrist 1107 Airport Road, Bloomington, IL 61704 2019-01-09
1245650639 Scott A Miller Od LLC Optometrist 3313 W State Road 45, Bloomington, IN 47403-5107 2014-04-24
1184044224 Thomas Gast Optometrist 414 S Meadowbrook Dr, Bloomington, IN 47401-4227 2014-04-16
1740520790 Hoosier Eye Doctor Inc Optometrist 4719 W State Road 46, Bloomington, IN 47404-9518 2013-02-27
1285979377 Jenna Marie Dale Optometrist 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 2012-11-30
1760610265 Denver Joseph Mcdaniel Optometrist 1105 S College Mall Rd, Bloomington, IN 47401-6177 2009-06-24
1194987131 Diana Lynn Christensen Optometrist 3205 West State Road 45, Christensen Eye Care, Bloomington, IN 47403 2008-07-01
1548458623 William B. Witte, Ltd Optometrist 2409 E Washington St, Bloomington, IL 61704-4483 2007-10-14
1740472216 Mark A Houser Optometrist 3818 W Woodyard Rd, Bloomington, IN 47404-1430 2007-08-17
1922206036 Keith F Tyler Optometrist 2105 W 80 1/2 St Ste C, Bloomington, MN 55431-1493 2007-07-10
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Competitor

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City BLOOMINGTON
Zip Code 61701

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Dataset Information

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.

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