Kevin Jue Dong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12175T Issued in CA

Practice address

401 Gregory LN
Suite 110
Pleasant Hill, CA 94523-2800

Phone

(925) 687-7638

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Looking Glass Optometry IncGroup PAC ID 6709808074, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Looking Glass Optometry Inc

  • Optometrist
  • Pleasant Hill, CA
  • NPI 1366416596
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1366411894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN",
            "address_2": "SUITE 110",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 GREGORY LN",
            "address_2": "SUITE 110",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232800",
            "telephone_number": "925-687-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONG",
        "first_name": "KEVIN",
        "middle_name": "JUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12175T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredrick Dietzen, DC
• Elizabeth Anne Dillon, RD
• Ilana Rae Dingwall
• Danielle Rae Dodd
• Donald B. Fox
• April Suzanne Doster, LCSW
• Kevin T Dowd, DDS
• Stephanie Baxter Downs
• John Michael Doyle, C.M.T.
• James Dudum, D.C.

• Optometrist in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.

Verify at the official NPI Registry.