Individual provider Active NPI

Hyong J Cho, OD

  • Optometrist
  • Fairfax, VA
National Provider Identifier
1386853158
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001212 Issued in VA
Practice address
13059 Fairlake Shopping Center
Fairfax, VA 22033
Phone
(703) 631-5131
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001212 VA Primary

Addresses

Primary practice location

13059 Fairlake Shopping Center
Fairfax, VA 22033

Mailing address

25574 Dapper CT
Chantilly, VA 20152-6318
Phone (571) 215-1346

Other names 1

  • Paul Cho Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101220000797 VA Practitioner - Optometry 1557559481 Reassigns benefits to 1 organization
I20110120001112 DC Practitioner - Optometry 1557559481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul Cho and Associates PLLCGroup PAC ID 8022206952, 2 clinicians
Warrenton Eye Center LLCGroup PAC ID 0547413163, 2 clinicians

Practice addresses (Care Compare)

13059 Fair Lakes Shopping Ctr
Fairfax, VA 22033-5179
Phone (571) 434-8070

24635 Dulles Landing Dr
Sterling, VA 20166-2614
Phone (703) 327-3227

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001212VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Cho & Associates PLLC Optometrist CurrentSince Sep 18, 2010 Accepting new patients
Warrenton Eye Center LLC Optometrist CurrentSince Jul 1, 2013 Accepting new patients

Locations

13059 Fair Lakes Shopping Ctr
Fairfax, VA 22033
Phone (703) 631-4007

24635 Dulles Landing Dr
Sterling, VA 20166
Phone (571) 367-3038

45415 Dulles Crossing Plz
Sterling, VA 20166
Phone (571) 434-8070

700 James Madison Hwy
Warrenton, VA 20186
Phone (540) 216-0816

Organizations & group practices 2

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1386853158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25574 DAPPER CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201526318",
            "telephone_number": "571-215-1346",
            "fax_number": "703-631-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13059 FAIRLAKE SHOPPING CENTER",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22033",
            "telephone_number": "703-631-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "HYONG",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "CHO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.