Individual provider Active NPI

Sungjun John Hwang, M.D.

  • Ophthalmology Physician
  • Canandaigua, NY
National Provider Identifier
1255334132
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
202483 Issued in NY
Practice address
325 West St
Canandaigua, NY 14424-1723
Phone
(585) 394-2020
Fax
(585) 394-9261
NPI assigned
May 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 202483 NY Primary

Addresses

Primary practice location

325 West St
Canandaigua, NY 14424-1723

Mailing address

325 West St
Canandaigua, NY 14424-1723
Phone (585) 394-2020

Other practice location 1

784 Pre Emption Rd
Geneva, NY 14456-2092
Phone (585) 394-2020

Other practice location 2

1210 Driving Park Ave
Newark, NY 14513-1057
Phone (585) 394-2020

Other practice location 3

1025 Brixton Dr
Macedon, NY 14502-8831
Phone (585) 394-2020

Other identifiers 1

IdentifierTypeStateIssuer
01817225MedicaidNY

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address sungjunhwangmd@theeyecarecenter.medentdirect.com Direct
Direct Messaging Address sungjunhwangmd@theeyecarecenter.medentdirect.com Direct
Direct Messaging Address sungjunhwangmd@theeyecarecenter.medentdirect.com Direct
Direct Messaging Address sungjunhwangmd@theeyecarecenter.medentdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000152 NY Practitioner - Ophthalmology 0749316842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Warren Alpert Medical School of Brown University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Finger Lakes Ophthalmology, PCGroup PAC ID 9436140019, 12 clinicians

Practice addresses (Care Compare)

325 W St
Canandaigua, NY 14424-1787
Phone (585) 394-2020

Hospital & facility affiliations

  • Geneva General Hospital Hospital, Geneva, NY, CCN 330058

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1016
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Finger Lakes Ophthalmology, PC Current Accepting new patients
Finger Lakes Ophthalmology, PC Ophthalmology CurrentSince Jul 10, 1998 Accepting new patients

Locations

325 West St
Canandaigua, NY 14424
Phone (585) 394-2020

784 Pre Emption Rd
Geneva, NY 14456
Phone (315) 787-7337

1025 Brixton Dr
Macedon, NY 14502
Phone (315) 986-4022

1210 Driving Park Ave
Newark, NY 14513
Phone (315) 331-8921

Interoperability endpoints

  • Direct secure messaging: sungjunhwangmd@theeyecarecenter.medentdirect.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1255334132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 WEST ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241723",
            "telephone_number": "585-394-2020",
            "fax_number": "585-394-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 WEST ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144241723",
            "telephone_number": "585-394-2020",
            "fax_number": "585-394-9261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "784 Pre Emption Rd",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "NY",
            "postal_code": "144562092",
            "country_code": "US",
            "telephone_number": "585-394-2020",
            "fax_number": "585-394-9261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1210 Driving Park Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131057",
            "country_code": "US",
            "telephone_number": "585-394-2020",
            "fax_number": "585-394-9261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Brixton Dr",
            "address_purpose": "LOCATION",
            "city": "Macedon",
            "state": "NY",
            "postal_code": "145028831",
            "country_code": "US",
            "telephone_number": "585-394-2020",
            "fax_number": "585-394-9261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "SUNGJUN",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "202483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01817225",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sungjunhwangmd@theeyecarecenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR E-mail address for secure sharing of patient",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "325 West St",
            "city": "Canandaigua",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144241723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sungjunhwangmd@theeyecarecenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR e-mail address for secure sharing of patient information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "784 Pre Emption Rd",
            "city": "Geneva",
            "state": "NY",
            "country_code": "US",
            "postal_code": "144562092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sungjunhwangmd@theeyecarecenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR e-mail address for secure sharing of patient information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1210 Driving Park Ave",
            "city": "Newark",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145131057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sungjunhwangmd@theeyecarecenter.medentdirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR E-mail address for secure sharing of patient",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1025 Brixton Dr",
            "city": "Macedon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145028831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canandaigua, NY

Sources for this page

Verify at the official NPI Registry.