Individual provider Active NPI

Woong Ki Hong, OD

  • Optometrist
  • Lutz, FL
National Provider Identifier
1619617685
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6108 Issued in FL
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

Updated by the provider on Dec 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OPC6108FLMDOptometrist
046011601ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
America'S Best Contacts & Eyeglasses PastSince Apr 1, 2022 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.

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.

Verify at the official NPI Registry.