Dr. Hyejon Ko, P.a.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

4991T Issued in TX

Legal business name

DR. HYEJON KO, P.A.

Doing business as

Willow Bend Vision Care

Practice address

6121 W Park Blvd
Ste D-120
Plano, TX 75093-6221

Phone

(972) 202-5632

Fax

(972) 202-5630

NPI assigned

Oct 14, 2007

Last updated

Oct 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hyejon Ko, ODNPI 1639211154

Title

Owner

Phone

(972) 862-8080

Specialties & licenses 1

Addresses

Other names 1

• Willow Bend Vision Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hyejon Ko, O.D.

  • Corneal and Contact Management Optometrist
  • Plano, TX
  • NPI 1639211154
  NPD (past) Authorized official

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

{
    "created_epoch": "1192320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192320000000",
    "number": "1700074879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 W PARK BLVD",
            "address_2": "STE D-120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936221",
            "telephone_number": "972-202-5632",
            "fax_number": "972-202-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 W PARK BLVD",
            "address_2": "STE D-120",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936221",
            "telephone_number": "972-202-5632",
            "fax_number": "972-202-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. HYEJON KO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-14",
        "last_updated": "2007-10-14",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "HYEJON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-862-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "4991T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Bend Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Corneal and Contact Management Optometrist in Plano, TX
• Providers in Plano, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2007; 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.