Organization Active NPI

Soho Optical LLC

  • Optometrist
  • Cherry Hill, NJ
National Provider Identifier
1265693188
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00590600 Issued in NJ
Legal business name
SOHO OPTICAL LLC
Practice address
1720 Marlton Pike E
Soho Optical
Cherry Hill, NJ 08003-2301
Phone
(856) 874-0011
Fax
(856) 874-0015
NPI assigned
Jun 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Dr. Narah K Hong, ODNPI 1669578449
Title
Optometrist
Phone
(856) 874-0011

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 27OA00590600 NJ Primary

Addresses

Primary practice location

1720 Marlton Pike E
Soho Optical
Cherry Hill, NJ 08003-2301

Mailing address

1720 Marlton Pike E
Soho Optical
Cherry Hill, NJ 08003-2301
Phone (856) 874-0011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080912000300 NJ Part B Supplier - Clinic/Group Practice 4880760081 Receives reassigned benefits from 1 practitioner
Practice locations: Deptford, NJ

National Provider Directory

National Provider Directory

Locations

1720 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 287-7790

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": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1265693188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 MARLTON PIKE E",
            "address_2": "SOHO OPTICAL",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032301",
            "telephone_number": "856-874-0011",
            "fax_number": "856-874-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 MARLTON PIKE E",
            "address_2": "SOHO OPTICAL",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032301",
            "telephone_number": "856-874-0011",
            "fax_number": "856-874-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHO OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "NARAH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "856-874-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00590600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.