JAN TUNG (O.D.) – Optometrist, NPI 1184979072

JAN TUNG (O.D.) is a healthcare provider. based in San gabriel, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 14400 (CA). The NPI Number for JAN TUNG (O.D.) is 1184979072

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
JAN TUNG (O.D.)
NPI
1184979072
Phone
(626) 288-8023
Address
140 W VALLEY BLVD
Enumeration Date
17 July 2012
Last Update Date
22 May 2013

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
5626961883
Graduation Year
2012 (14 years ago)
PAC ID
5597912238
Group Practice PAC ID
1153406392
Professional Enrollment ID
I20120830000759
Address ID
CA906021727WH13311STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for JAN TUNG (O.D.)

  • 140 W VALLEY BLVD

    #115

    SAN GABRIEL, CA 917763760

    Phone: (626) 288-8023

    Fax: (626) 288-8326

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $691.

Total Amount is formed as General ($691) + Research ($0) + Ownership ($0) = $691.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($564).

Total Amount

$691

General + Research + Ownership

Payments

12

Total payment records

General Amount

$691

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120830000759IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91776)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153406392View full group profile
NameSpecialtyState
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

Is JAN TUNG (O.D.) listed with a National Provider Identifier?
Yes — JAN TUNG (O.D.) has NPI 1184979072 on file in the registry.
Is there an active status for JAN TUNG (O.D.)?
For scheduling context, JAN TUNG (O.D.) is shown as active in the registry.
What area of care is associated with JAN TUNG (O.D.)?
JAN TUNG (O.D.)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is JAN TUNG (O.D.) located near San Gabriel?
JAN TUNG (O.D.) currently maps to San Gabriel, California in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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PING YE (OD)

Optometrist
115, West Valley Boulevard, San Gabriel, Los Angeles County, California, 91776, United States
NPI: 1497778211
5531 E STEARNS ST STE A
NPI: 1467561084