KIT TUNG IP (OD) – Optometrist, NPI 1972768075

KIT TUNG IP (OD) is a healthcare provider. based in Allston, Massachusetts. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 4687 (MA). The NPI Number for KIT TUNG IP (OD) is 1972768075

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
KIT TUNG IP (OD)
NPI
1972768075
Phone
(617) 447-7523
Address
1125 COMMONWEALTH AVE
Enumeration Date
28 July 2008
Last Update Date
27 May 2016

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
6178180476
Graduation Year
2008 (18 years ago)
PAC ID
3476615121
Group Practice PAC ID
3779862206
Professional Enrollment ID
I20081215000528
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for KIT TUNG IP (OD)

  • 1125, Commonwealth Avenue, Allston, Boston, Suffolk County, Massachusetts, 02215, United States

    APT 19

    ALLSTON, MA 021343201

    Phone: (617) 447-7523

    Type: Mailing

  • 50, Staniford Street, Downtown Crossing, West End, Boston, Suffolk County, Massachusetts, 02222, United States

    SUITE 600

    BOSTON, MA 021142517

    Phone: (617) 367-4800

    Fax: (617) 723-7028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-12-15

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
I20081215000528IOptometryMATBD

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 02134)

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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: 3779862206View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P T O M E T R YMA

Reviews

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Frequently asked questions

How do payers reference KIT TUNG IP (OD)?
For KIT TUNG IP (OD), use NPI 1972768075 as the unique 10-digit identifier.
Is there an active status for KIT TUNG IP (OD)?
For scheduling context, KIT TUNG IP (OD) is shown as active in the registry.
How would a patient describe KIT TUNG IP (OD)'s focus?
For KIT TUNG IP (OD), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with KIT TUNG IP (OD)?
Directory geography for KIT TUNG IP (OD) centers on Allston, Massachusetts.
Can I trust this NPI listing for KIT TUNG IP (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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