Individual provider Active NPI

Hyonsin Kathy Rho, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1538212295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11583 Issued in CA
Practice address
925 Blossom Hill Rd
Oakridge Mall #1451
San Jose, CA 95123-1230
Phone
(408) 284-0140
Fax
(408) 448-2130
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11583 CA Primary

Addresses

Primary practice location

925 Blossom Hill Rd
Oakridge Mall #1451
San Jose, CA 95123-1230

Mailing address

1797 California St
#19
Mountain View, CA 94041-1759
Phone (408) 315-2937

Other names 1

  • Hyonsin Kathy Park Other name

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

Practice roles

OrganizationSpecialtyStatusNew patients
J. Kuo OD, Optometric Corp. Optometrist PastSince Jul 25, 2019 Accepting new patients
Joanne Yee, OD, Faao Optometrist Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Organizations & group practices 4

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538212295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 CALIFORNIA ST",
            "address_2": "#19",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411759",
            "telephone_number": "408-315-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 BLOSSOM HILL RD",
            "address_2": "OAKRIDGE MALL #1451",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951231230",
            "telephone_number": "408-284-0140",
            "fax_number": "408-448-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHO",
        "first_name": "HYONSIN",
        "middle_name": "KATHY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HYONSIN",
            "last_name": "PARK",
            "middle_name": "KATHY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jose, CA

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.

Verify at the official NPI Registry.