M.K. Hoang O.D. Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

M.K. HOANG O.D. INC.

Practice address

1102 Irvine Blvd
Tustin, CA 92780-3529

Phone

(714) 838-3210

Fax

(714) 838-5702

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Mary Kim Hoang, ODNPI 1861862906

Title

Ceo

Phone

(714) 838-3210

Specialties & licenses 1

Addresses

Other names 1

• The Optometry Booth Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kim Hoang, O.D.

  • Optometrist
  • Tustin, CA
  • NPI 1861862906
  Medicare reassignment NPD Authorized official
• Han Tran

  • Optometrist
  • Saugus, CA
  • NPI 1952983892
  NPD (past)

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1669193587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803529",
            "telephone_number": "714-838-3210",
            "fax_number": "714-838-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803529",
            "telephone_number": "714-838-3210",
            "fax_number": "714-838-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.K. HOANG O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-838-3210",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Optometry Booth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carol Joanne Lyskoski
• William Christopher Sir Lyv, PT, DPT
• M Garcia Chiropractic Corp
• M Roberta Dornan DDS Inc
• M. Arthur Charles, M.D.
• Catherine Sohra Ma
• Janet Ma, (MSN, FNP)
• Susan Ma
• Brenda Lina Macias Gurrola, NP
• Blanca Erica Macias

• Optometrist in Tustin, CA
• Providers in Tustin, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.