Active NPI
James Kong, O.D.
- Optometrist
- Houston, TX
National Provider Identifier
1265417000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4285T
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PO 80881E8 | Medicaid | TX | |
| 82122E | Other | TX | BCBS PROVIDER NUMBER |
| PO 82122E3 | Medicaid | TX |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4285 | TX | MD | Behavioral Analyst |
| 4285T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Kong, PC | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.