Organization Active NPI

Forister and Hong Optometry

  • Optometrist
  • Rancho Palos Verdes, CA
National Provider Identifier
1548685597
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12811TLG Issued in CA
Legal business name
FORISTER AND HONG OPTOMETRY
Practice address
28356 S Western Ave
Rancho Palos Verdes, CA 90275-1434
Phone
(310) 831-0841
Fax
(310) 831-3369
NPI assigned
Feb 27, 2014
Last updated
Feb 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Dr. Shirley Hong, ODNPI 1952311938
Title
Optometrist
Phone
(619) 200-6890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12811TLG CA Primary

Addresses

Primary practice location

28356 S Western Ave
Rancho Palos Verdes, CA 90275-1434

Mailing address

28356 S Western Ave
Rancho Palos Verdes, CA 90275-1434
Phone (310) 831-0841

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151201000504 CA Part B Supplier - Clinic/Group Practice 3577863364 Receives reassigned benefits from 2 practitioners
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

28356 S Western Ave
Rancho Palos Verdes, CA 90275
Phone (310) 547-2685

4247 Pacific Coast Hwy
Torrance, CA 90505
Phone (424) 341-3931

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1548685597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28356 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751434",
            "telephone_number": "310-831-0841",
            "fax_number": "310-831-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28356 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751434",
            "telephone_number": "310-831-0841",
            "fax_number": "310-831-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORISTER AND HONG OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "619-200-6890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12811TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Palos Verdes, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.