Hong Kang Ku, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12786T Issued in CA

Practice address

22215 Avalon Blvd
Carson, CA 90745-3359

Phone

(310) 830-2201

Fax

(310) 830-2241

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1669522264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22215 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453359",
            "telephone_number": "310-830-2201",
            "fax_number": "310-830-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22215 AVALON BLVD",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907453359",
            "telephone_number": "310-830-2201",
            "fax_number": "310-830-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KU",
        "first_name": "HONG",
        "middle_name": "KANG",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12786T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gage Knapp
• Jacqueline L Kogan, NBC-HWC
• Namie Kong, DMD
• Ethan M Kreiswirth, MA, ATC
• Kristen Lee OD, a Professional Corporation
• Ky Dental Professional Corporation
• Verock Ky, DDS
• La Sleep Med Center
• Jenifer B. Labrador, DDS
• Sheila Mae Lachica, PA-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.