Daniel T Khong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1185-338T Issued in LA

Practice address

1620 Belle Chasse Hwy
Ste B
Terrytown, LA 70056-7057

Phone

(504) 309-8619

Fax

(504) 218-4190

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Louisiana Professional PCGroup PAC ID 5799219515, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/6225/brand/1/csg/1/fhir/r4

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.

• Aeg Louisiana Professional PC

  • Optometrist
  • Alton, IL
  • NPI 1629827795

  LA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1497856645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 MANHATTAN BLVD STE E2B",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583375",
            "telephone_number": "504-309-8619",
            "fax_number": "504-218-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BELLE CHASSE HWY",
            "address_2": "STE B",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "700567057",
            "telephone_number": "504-309-8619",
            "fax_number": "504-218-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHONG",
        "first_name": "DANIEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1185-338T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7346355",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1162990",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "5045870001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerard A Karam
• Zachary Leithman Karam, D.D.S.
• Chermaine Kelly
• Julie Ketchens
• Suzanne Key, CRNP
• Klinger & Marshall Dermatology, LLC
• Jamie Hoitien DO Kuo, MD
• Lab Site Clinical LLC
• Candice Renee Lampkin, LPN, CCST
• Ariel Landry, MS, PLPC

• Optometrist in Terrytown, LA
• Providers in Terrytown, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.