Active NPI
Min Kyung Kang, OD
- Optometrist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618002921
- Practice address
- 400 Westhampton Sta
Richmond, VA 23226-3330 - Phone
- (804) 287-4200
- Fax
- (804) 287-4256
- NPI assigned
- Sep 17, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618002921 | VA | Primary |
| Optometrist | 152W00000X | 009057 | NY |
Addresses
Primary practice location
400 Westhampton Sta
Richmond, VA 23226-3330
Mailing address
400 Westhampton Sta
Richmond, VA 23226-3330
Phone (804) 287-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1317 Mount Hope Ave
Rochester, NY 14620-3923
Phone (585) 273-3937
160 Office Pkwy
Pittsford, NY 14534-1759
Phone (585) 273-3937
500 Clinton Ave S
Suite 104
Rochester, NY 14620-1105
Phone (585) 273-3937
601 Elmwood Ave
Rochester, NY 14642-0001
601 Elmwood Ave Box
Rochester, NY 14642-0001
Phone (585) 273-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618002921 | VA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strong Eye Care | Current | Accepting new patients |
Locations
1317 Mount Hope Ave
Rochester, NY 14620
Phone (585) 276-7673
601 Elmwood Ave
#659
Rochester, NY 14642
Phone (585) 275-0378
601 Elmwood Ave
#888
Rochester, NY 14642
Phone (585) 784-9582
Interoperability endpoints
- mkang372768@direct.urmc.rochester.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Rochester, NY
- NPI 1760413447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1225688609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 WESTHAMPTON STA",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263330",
"telephone_number": "804-287-4200",
"fax_number": "804-287-4256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 WESTHAMPTON STA",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263330",
"telephone_number": "804-287-4200",
"fax_number": "804-287-4256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANG",
"first_name": "MIN KYUNG",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618002921",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009057",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.