Individual provider Active NPI

Michael Wayne Hung, OD

  • Optometrist
  • Cumming, GA
National Provider Identifier
1043248214
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001925 Issued in GA
Practice address
410 Peachtree Pkwy Ste 220
Cumming, GA 30041-7098
Phone
(770) 887-6579
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001925 GA Primary

Addresses

Primary practice location

410 Peachtree Pkwy Ste 220
Cumming, GA 30041-7098

Mailing address

401 Windsor Manor CT
Duluth, GA 30097-5992
Phone (404) 308-4864

Other practice location 1

4505 Ashford Dunwoody Rd NE
#1
Dunwoody, GA 30346-1514
Phone (770) 399-0488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060321000031 GA Practitioner - Optometry 0648287441 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1925GAMDCertified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Georgia Inc Optometrist CurrentSince Feb 22, 2006 Accepting new patients
State of Mississippi - University of Mississippi Medical Center PastSince Feb 22, 2006 Accepting new patients
Cumming Vision Care, PC Optometrist Past Accepting new patients
Eye Elements Group,LLC Optometrist Past Accepting new patients
Southeast Eye Surgery Center, PC Past Accepting new patients

Locations

8400 Holcomb Bridge Rd
Ste 440
Alpharetta, GA 30022
Phone (770) 645-1222

4505 Ashford Dunwoody Rd NE
Ste 1
Dunwoody, GA 30346
Phone (770) 399-0488

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga
  • Direct secure messaging: mwhung@direct.eyecare-partners.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1043248214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WINDSOR MANOR CT",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975992",
            "telephone_number": "404-308-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PEACHTREE PKWY STE 220",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417098",
            "telephone_number": "770-887-6579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4505 Ashford Dunwoody Rd NE",
            "address_2": "#1",
            "address_purpose": "LOCATION",
            "city": "Dunwoody",
            "state": "GA",
            "postal_code": "303461514",
            "country_code": "US",
            "telephone_number": "770-399-0488",
            "fax_number": "770-395-4291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNG",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.