Active NPI
Kevin Hoang, O.D.
- Optometrist
- Yuma, AZ
National Provider Identifier
1497054258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2013019221
- Practice address
- McAs Yuma
BLDG #1175
Yuma, AZ 85365 - Phone
- (928) 269-3177
- NPI assigned
- Mar 19, 2011
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2013019221 | MO | Primary |
Addresses
Primary practice location
McAs Yuma
BLDG #1175
Yuma, AZ 85365
Mailing address
200 Mercy Circle
Camp Pendleton, CA 92055
Phone (928) 269-3177
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013019221 | MO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1497054258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MERCY CIRCLE",
"city": "CAMP PENDLETON",
"state": "CA",
"postal_code": "92055",
"telephone_number": "928-269-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MCAS YUMA",
"address_2": "BLDG #1175",
"city": "YUMA",
"state": "AZ",
"postal_code": "85365",
"telephone_number": "928-269-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-19",
"last_updated": "2025-06-10",
"certification_date": "2025-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2013019221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.