Active NPI
Irene Hwang
- Optometrist
- Ventura, CA
National Provider Identifier
1356046049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35456
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35456 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall B. Ketchum University/University Eye Center at Los Angeles | Optometrist | Current | Accepting new patients |
| Marshall B. Ketchum University | Current | 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
- 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.
-
- Optometrist
- Anaheim, CA
- NPI 1720101876
-
- Multi-Specialty Clinic/Center
- Anaheim, CA
- NPI 1174037493
-
- Optometrist
- Los Angeles, CA
- NPI 1558467225
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.