Individual provider Active NPI

James Kong, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1265417000
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4285T Issued in TX
Practice address
955 McKinney St
Houston, TX 77002-6308
Phone
(713) 652-2010
Fax
(713) 652-3922
NPI assigned
Dec 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4285T TX Primary

Addresses

Primary practice location

955 McKinney St
Houston, TX 77002-6308

Mailing address

9402 Rowan LN
Houston, TX 77036-5212
Phone (713) 774-2035

Other identifiers 3

IdentifierTypeStateIssuer
PO 80881E8MedicaidTX
82122EOtherTXBCBS PROVIDER NUMBER
PO 82122E3MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080228000056 TX Practitioner - Optometry 7719061803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

955 McKinney St
Houston, TX 77002-6308
Phone (713) 652-2010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4285TXMDBehavioral Analyst
4285TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James Kong, PC Optometrist CurrentSince Dec 26, 2010 Accepting new patients

Locations

919 Milam St
Ste T1000
Houston, TX 77002
Phone (713) 652-2010

955 McKinney St
Houston, TX 77002
Phone (713) 652-2010

5101 Avenue H
Ste 67
Rosenberg, TX 77471
Phone (281) 342-5848

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1265417000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 ROWAN LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365212",
            "telephone_number": "713-774-2035",
            "fax_number": "713-652-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 MCKINNEY ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770026308",
            "telephone_number": "713-652-2010",
            "fax_number": "713-652-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONG",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-14",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4285T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO 80881E8",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "82122E",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO 82122E3",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.