Individual provider Active NPI

Kevin Hong, O.D.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1669804589
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010719 Issued in IL
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

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131002000363 IL Practitioner - Optometry 0244464410 Reassigns benefits to 1 organization
I20220405001203 MN Practitioner - Optometry 0244464410 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3769MNMDMarriage & Family Therapist
18003811AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Mar 14, 2022 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Mar 14, 2022 Accepting new patients
Visionworks, Inc CurrentSince Mar 14, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.