Stephen Khong, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TX5573T Issued in TX

Practice address

3575 W Walnut St
Suite C
Garland, TX 75042-6208

Phone

(972) 272-9455

NPI assigned

Mar 20, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Eye Clinic PC

  • Optometrist
  • Garland, TX
  • NPI 1386771855
  Medicare reassignment

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1437274065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 W WALNUT ST",
            "address_2": "SUITE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426208",
            "telephone_number": "972-272-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 W WALNUT ST",
            "address_2": "SUITE C",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750426208",
            "telephone_number": "972-272-9455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHONG",
        "first_name": "STEPHEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX5573T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "9722729455",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "11585",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK",
            "identifier": "918176",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "TX5573",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niloufar Khanian, MD
• Avanika Khanna, DDS
• Hyun Young Kho, DPM
• Kennedy Noel Khong, OD
• Phoebe Grace Khong
• Rabab Khoury, RPH
• Kevin Farzin Kia, MD
• Kid Friendly Pediatrics PA
• Kidnet Foundation (Jonathan's Place)
• Zarin Kidwai, MD

• Optometrist in Garland, TX
• Providers in Garland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.