Organization Active NPI

Hoang Eye Care, PLLC

  • Optometrist
  • Sherwood, AR
National Provider Identifier
1235503558
Registry record updated Mar 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2683 Issued in AR
Legal business name
HOANG EYE CARE, PLLC
Practice address
9053 Highway 107
Sherwood, AR 72120-2933
Phone
(501) 412-8519
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2016

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

Authorized official

Name
Kimmy Hoang, ODNPI 1710321955
Title
Optometrist
Phone
(870) 723-5573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2683 AR Primary

Addresses

Primary practice location

9053 Highway 107
Sherwood, AR 72120-2933

Mailing address

308 Monticello W
Bryant, AR 72022-8351
Phone (501) 412-8519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160303000038 AR Part B Supplier - Clinic/Group Practice 0446556393 Receives reassigned benefits from 1 practitioner
Practice locations: Sherwood, AR

National Provider Directory

National Provider Directory

Locations

9053 Highway 107
Sherwood, AR 72120
Phone (501) 412-8519

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1235503558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MONTICELLO W",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720228351",
            "telephone_number": "501-412-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9053 HIGHWAY 107",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202933",
            "telephone_number": "501-412-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOANG EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "KIMMY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "870-723-5573",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.