Active NPI
Andrew Khong
- Optometrist
- Prattville, AL
National Provider Identifier
1144901158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-F25-TA-C99
- Practice address
- 1919 Cobbs Ford Rd
Prattville, AL 36066-7211 - Phone
- (334) 595-6550
- NPI assigned
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | S-F25-TA-C99 | AL | Primary |
Addresses
Primary practice location
1919 Cobbs Ford Rd
Prattville, AL 36066-7211
Mailing address
16308 E Brewster Rd Apt E233
Covington, LA 70433-7249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-F25-TA-C99 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current | Accepting new patients |
Locations
1919 Cobbs Ford Rd
Prattville, AL 36066
Phone (334) 595-6550
Organizations & group practices 1
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.
-
- Optometrist
- Prattville, AL
- NPI 1104456219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1144901158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16308 E BREWSTER RD APT E233",
"city": "COVINGTON",
"state": "LA",
"postal_code": "704337249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 COBBS FORD RD",
"city": "PRATTVILLE",
"state": "AL",
"postal_code": "360667211",
"telephone_number": "334-595-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHONG",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-F25-TA-C99",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prattville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.