Active NPI
Henry Mark Kwong Sr., MD
- Ophthalmology Physician
- New Iberia, LA
National Provider Identifier
1437235652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 012632
- Practice address
- 607 Rue de Brille
New Iberia, LA 70563 - Phone
- (337) 367-1247
- Fax
- (337) 365-7496
- NPI assigned
- Oct 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 012632 | LA | Primary |
Addresses
Primary practice location
607 Rue de Brille
New Iberia, LA 70563
Mailing address
607 Rue de Brille
New Iberia, LA 70563
Phone (337) 367-1247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1197980 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry M Kwong, M.D. a Prof Med Corp | Ophthalmology | Past | Accepting new patients |
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.
-
- Ophthalmology Physician
- New Iberia, LA
- NPI 1922336817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437235652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 RUE DE BRILLE",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "70563",
"telephone_number": "337-367-1247",
"fax_number": "337-365-7496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 RUE DE BRILLE",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "70563",
"telephone_number": "337-367-1247",
"fax_number": "337-365-7496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWONG",
"first_name": "HENRY",
"middle_name": "MARK",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "LA",
"license": "012632",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1197980",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.