OrganizationActive
Jason Jaehoon Chung
NPI 1770606089 · Preferred Provider Organization · Puyallup, WA
Provider details
- NPI number
- 1770606089
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Jason Chung, Optometrist(253) 435-0622
- License
- 3954 (WA)
Specialties & taxonomies
Managed Care Organizations
Practice location
1201 39th Ave Sw
Puyallup, WA 98373-3803
Phone: (253) 435-0622
Approximate (ZIP-level) locationGet directions
Mailing address
1201 39th Ave Sw
Puyallup, WA 98373-3803
Other names (DBA / former)
- Other name
- Advanced Puyallup Eyecare
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2008-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.