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DR. JENIFER KENI KEIKO ISHIZAKI CHUNG O.D.
NPI 1821140534
Optometrist in Antioch, CA

Active since January 16, 2007PECOS Enrolled
3400 DELTA FAIR BLVD, EYECARE CLINIC-OPTOMETRY, ANTIOCH, CA 94509(925) 779-4378(925) 779-5421 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jenifer Keni Keiko Ishizaki Chung O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENIFER KENI KEIKO ISHIZAKI CHUNG O.D. (NPI 1821140534) is an individual optometrist in Antioch, California, licensed in California (11660) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821140534
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JENIFER KENI KEIKO ISHIZAKI CHUNGCredential: O.D.
Location Address3400 DELTA FAIR BLVD, EYECARE CLINIC-OPTOMETRYAntioch, CA 94509-4004
Mailing Address4501 Sand Creek Rd, Eyecare Clinic- OptometryAntioch, CA 94531-8687
Phone(925) 779-4378
Fax(925) 779-5421
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1821140534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CA · 11660✔ Licensed in HI · 550
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.
3400 DELTA FAIR BLVD, Antioch, CA 94509
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jenifer Keni Keiko Ishizaki Chung O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW ROBERT WHITE PT
Physical Therapist
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5442
ROSETTA C. NEWHALL MD
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. SANAZ STACY ABOUTALEBI-SIMON O.D.
Optometrist (Corneal and Contact Management)
3400 DELTA FAIR BLVD, THE PERMANENTE MEDICAL GROUP, INC.
ANTIOCH, CA 94509
Contra Costa County (925) 779-5223
RAJ V. DASARI MD
Emergency Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. ATHENA PANZAR PSY.D.
Counselor (Mental Health)
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5090
AL G. SUMAQUIAL MD
Internal Medicine
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
BERNABE FLORO URBANO JR. MD
Pediatrics
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 779-5000
DR. PHILIP SONG M.D.
Dermatology
3400 DELTA FAIR BLVD
ANTIOCH, CA 94509
Contra Costa County (925) 817-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenifer Chung's NPI number?

The NPI number for Jenifer Chung is 1821140534. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Jenifer Chung located?

Jenifer Chung practices at 3400 Delta Fair Blvd Eyecare Clinic-Optometry, Antioch, CA 94509. The listed phone number is (925) 779-4378.

What is Jenifer Chung's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jenifer Chung enrolled in Medicare?

Yes. Jenifer Chung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenifer Chung was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.