Active NPI
Kevin Hong, O.D.
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010719
- Practice address
- 3929 N Western Ave
Store S
Chicago, IL 60618-3759 - Phone
- (773) 906-5725
- Fax
- (773) 906-5724
- NPI assigned
- Aug 1, 2013
- Last updated
- Mar 25, 2016
- 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 | 046010719 | IL | Primary |
| Optometrist | 152W00000X | 18003811A | IN |
Addresses
Primary practice location
3929 N Western Ave
Store S
Chicago, IL 60618-3759
Mailing address
3929 N Western Ave
Store S
Chicago, IL 60618-3759
Phone (773) 906-5725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3769 | MN | MD | Marriage & Family Therapist |
| 18003811A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionworks, Inc | Current | Accepting new patients | |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
Locations
6170 Grand Ave
Ste 375
Gurnee, IL 60031
Phone (847) 645-0136
239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286
2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133
1178 Burnsville Ctr
#2036
Burnsville, MN 55306
Phone (952) 435-5011
175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982
Interoperability endpoints
- 111987@visionworks.emadirect.md
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458864000000",
"number": "1669804589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3929 N WESTERN AVE",
"address_2": "STORE S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606183759",
"telephone_number": "773-906-5725",
"fax_number": "773-906-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 N WESTERN AVE",
"address_2": "STORE S",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606183759",
"telephone_number": "773-906-5725",
"fax_number": "773-906-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONG",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-01",
"last_updated": "2016-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010719",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18003811A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.