Active NPI
Woong Ki Hong, OD
- Optometrist
- Lutz, FL
National Provider Identifier
1619617685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6108
- Practice address
- 1040 Dale Mabry Hwy
Lutz, FL 33548-3004 - Phone
- (813) 953-4389
- NPI assigned
- Mar 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046011601 | IL | |
| Optometrist | 152W00000X | OPC6108 | FL | Primary |
Addresses
Primary practice location
1040 Dale Mabry Hwy
Lutz, FL 33548-3004
Mailing address
4223 Usher St Apt 321
Land O Lakes, FL 34638-0238
Phone (240) 472-1805
Other practice location 1
256 S Route 59 Ste 132
Naperville, IL 60540-9108
Phone (630) 696-4360
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6108 | FL | MD | Optometrist |
| 046011601 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America'S Best Contacts & Eyeglasses | Past | Accepting new patients |
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.
-
- Optician
- Naperville, IL
- NPI 1710190277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1619617685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4223 USHER ST APT 321",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346380238",
"telephone_number": "240-472-1805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 DALE MABRY HWY",
"city": "LUTZ",
"state": "FL",
"postal_code": "335483004",
"telephone_number": "813-953-4389"
}
],
"practiceLocations": [
{
"address_1": "256 S Route 59 Ste 132",
"address_purpose": "LOCATION",
"city": "Naperville",
"state": "IL",
"postal_code": "605409108",
"country_code": "US",
"telephone_number": "630-696-4360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HONG",
"first_name": "WOONG",
"middle_name": "KI",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-29",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046011601",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC6108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.