Jun Mo Hong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002150 Issued in GA

Practice address

3230 Steve Reynolds Blvd Ste 110
Duluth, GA 30096-8832

Phone

(678) 502-7395

Fax

(678) 502-7396

NPI assigned

Feb 17, 2007

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

Medicare fee-for-service enrollment

Enrolled in GA

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

Practice roles

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.

• Nukoa Eyecare LLC

  • Optometrist
  • Duluth, GA
  • NPI 1861859258
  NPD (past) Authorized official

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1568506020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 STEVE REYNOLDS BLVD STE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968832",
            "telephone_number": "678-502-7395",
            "fax_number": "678-502-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 STEVE REYNOLDS BLVD STE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968832",
            "telephone_number": "678-502-7395",
            "fax_number": "678-502-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "JUN",
        "middle_name": "MO",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Home Care Solutions
• Home Medical Systems Inc (Rotech)
• Homehelpers
• Homelogic Healthcare LLC
• Bongsu Kang Hong
• Joshua R Hopper
• Tiffany Danyale Hopson, LPTA
• Erica Lynn Silverman Hosken, PT, DPT, OCS
• Hospice Advantage, LLC
• Hospice Advantage, LLC (Compassus - Atlanta)

• Optometrist in Duluth, GA
• Providers in Duluth, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.