Individual provider Active NPI

Irene Hwang

  • Optometrist
  • Ventura, CA
National Provider Identifier
1356046049
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35456 Issued in CA
Practice address
5250 Ralston St
Ventura, CA 93003-7318
Phone
(805) 339-6400
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 35456 CA Primary

Addresses

Primary practice location

5250 Ralston St
Ventura, CA 93003-7318

Mailing address

5250 Ralston St
Ventura, CA 93003-7318
Phone (805) 339-6400

Other practice location 1

351 E Temple St
Los Angeles, CA 90012-3328
Phone (213) 253-2677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230913001476 CA Practitioner - Optometry 1658735493 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35456CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall B. Ketchum University/University Eye Center at Los Angeles Optometrist CurrentSince Sep 9, 2023 Accepting new patients
Marshall B. Ketchum University CurrentSince Sep 9, 2023 Accepting new patients
Marshall B. Ketchum University Optometrist Current Accepting new patients

Locations

3916 S Broadway
Los Angeles, CA 90037
Phone (323) 234-9137

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1356046049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 RALSTON ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037318",
            "telephone_number": "805-339-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 RALSTON ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037318",
            "telephone_number": "805-339-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "351 E Temple St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900123328",
            "country_code": "US",
            "telephone_number": "213-253-2677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HWANG",
        "first_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.