Individual provider Active NPI

David Chien-Ta Hwang, O.D

  • Optometrist
  • Orange, CA
National Provider Identifier
1578871133
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT14044TLG Issued in CA
Practice address
1122 E Lincoln Ave Ste 206
Orange, CA 92865-1909
Phone
(714) 889-9689
Fax
(949) 726-1282
NPI assigned
Sep 16, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT14044TLG CA Primary

Addresses

Primary practice location

1122 E Lincoln Ave Ste 206
Orange, CA 92865-1909

Mailing address

1122 E Lincoln Ave Ste 206
Orange, CA 92865-1909
Phone (949) 726-1696

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110407000876 CA Practitioner - Optometry 8820272362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1122 E Lincoln Ave
Suite 206
Orange, CA 92865-1999
Phone (949) 726-1696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT14044TLGCAMDOptometrist
14044CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
David Chien-Ta Hwang O.D.Inc CurrentSince Aug 11, 2010 Accepting new patients

Locations

13925 Yale Ave
Ste 130
Irvine, CA 92620
Phone (949) 232-8952

1122 E Lincoln Ave
Ste 206
Orange, CA 92865
Phone (714) 889-9689

Organizations & group practices 1

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1578871133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE 206",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651909",
            "telephone_number": "949-726-1696",
            "fax_number": "949-551-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE 206",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651909",
            "telephone_number": "714-889-9689",
            "fax_number": "949-726-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "DAVID",
        "middle_name": "CHIEN-TA",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT14044TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.