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
- 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. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc. | Optometrist | Current | Accepting new patients |
| Visionworks, Inc | 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 and National Provider Directory roles.
-
- Optometrist
- Niles, IL
- NPI 1831115906
-
- Optometrist
- Austin, MN
- NPI 1881962173
-
- Eyewear Supplier
- Simpsonville, SC
- NPI 1699571166
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.