Individual provider Active NPI

Cynthia Kang, O.D.

  • Optometrist
  • Frisco, TX
National Provider Identifier
1417408402
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5674T Issued in TX
Practice address
6842 Lebanon Rd Ste 101
Frisco, TX 75034-7480
Phone
(972) 712-7890
NPI assigned
Oct 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5674T TX Primary

Addresses

Primary practice location

6842 Lebanon Rd Ste 101
Frisco, TX 75034-7480

Mailing address

8700 Stonebrook Pkwy Unit 2462
Frisco, TX 75034-6186

Other names 1

  • Cynthia Kang-Lee Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210505000391 TX Practitioner - Optometry 2567871429 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5674TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Works Eyecare, P.a. Optometrist CurrentSince Apr 29, 2021 Accepting new patients

Locations

6842 Lebanon Rd
Ste 101
Frisco, TX 75034
Phone (972) 712-7890

Organizations & group practices 1

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1417408402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 STONEBROOK PKWY UNIT 2462",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 LEBANON RD STE 101",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347480",
            "telephone_number": "972-712-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANG",
        "first_name": "CYNTHIA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5674T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "KANG-LEE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.