Active NPI
Carolyn M Duong, OD
- Optometrist
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14422
- Practice address
- 101 The City Dr S
Orange, CA 92868-3201 - Phone
- (949) 824-2020
- NPI assigned
- Jul 5, 2012
- Last updated
- Oct 25, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 14422 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S
Orange, CA 92868-3201
Mailing address
101 The City Dr S
Orange, CA 92868-3201
Other practice location 1
300 Stein Plz
University of California Los Angeles
Los Angeles, CA 90095-0001
Phone (310) 825-5000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14422TLG | Other | CA | LICENSE |
| OEG002598 | Other | PA | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8068
5475 E la Palma Ave
Anaheim, CA 92807-2075
Phone (714) 279-6088
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.31 of 100
- Quality
- 78.96
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14422 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
441 N Lakeview Ave
Anaheim, CA 92807
Phone (714) 279-4000
5475 E La Palma Ave
Anaheim, CA 92807
Phone (714) 279-6088
850 Health Sciences Rd
Irvine, CA 92617
Phone (949) 824-0606
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
Interoperability endpoints
- cduong356848@direct.uclahealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UCI Ophthalmology Group
- Ophthalmology Physician
- Orange, CA
- NPI 1871541953
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
dba Target Clinic Medical Associates of Southern California
- Health Maintenance Organization
- Fullerton, CA
- NPI 1336556059
-
dba UCI Infusion Center
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1073878096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "949-824-2020"
}
],
"practiceLocations": [
{
"address_1": "300 Stein Plz",
"address_2": "University of California Los Angeles",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900950001",
"country_code": "US",
"telephone_number": "310-825-5000",
"fax_number": "310-825-6919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUONG",
"first_name": "CAROLYN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-05",
"last_updated": "2024-10-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14422",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "14422TLG",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OEG002598",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "441 N Lakeview Ave",
"city": "Anaheim",
"state": "CA",
"country_code": "US",
"postal_code": "928073028",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.