Individual provider Active NPI

Philip L Hwang, O.D.

  • Optometrist
  • Colorado Springs, CO
National Provider Identifier
1588004642
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0002992 Issued in CO
Practice address
670 Coveglen CT
Colorado Springs, CO 80906-6800
Phone
(224) 392-1766
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 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 0002992 CO Primary

Addresses

Primary practice location

670 Coveglen CT
Colorado Springs, CO 80906-6800

Mailing address

670 Coveglen CT
Colorado Springs, CO 80906-6800
Phone (224) 392-1766

Other identifiers 1

IdentifierTypeStateIssuer
18020046MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150106000616 CO Practitioner - Optometry 8729301338 Reassigns benefits to 2 organizations
I20220921002339 NY Practitioner - Optometry 8729301338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Vision Canon City Prof, LLCGroup PAC ID 9032129705, 2 clinicians
Britt a Buckley MD PCGroup PAC ID 0840267217, 8 clinicians

Practice addresses (Care Compare)

2776 E Main St
Canon City, CO 81212-4010
Phone (719) 275-1523

3155 N Union Blvd
Peak Vision Center
Colorado Springs, CO 80907-8703
Phone (719) 630-3937

Merit-based Incentive Payment System (MIPS)

Final score
88.49 of 100Reported as group
Quality
89.62
Improvement activities
40
Cost
75.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2992COMDProfessional Counselor
0002992COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Vision Center Inc Optometrist CurrentSince Aug 15, 2022 Accepting new patients
Empire Vision Center, Inc CurrentSince Aug 15, 2022 Accepting new patients
Peak Vision Canon City Prof, LLC Optometrist CurrentSince Dec 15, 2014 Accepting new patients

Locations

2776 E Main St
Canon City, CO 81212
Phone (719) 275-1523

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

Interoperability endpoints

  • Direct secure messaging: phwang@skyline.intellechartdirect.net

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1588004642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 COVEGLEN CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809066800",
            "telephone_number": "224-392-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 COVEGLEN CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809066800",
            "telephone_number": "224-392-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "PHILIP",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0002992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18020046",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.