Active NPI
Kimmy Hoang, O.D.
- Optometrist
- North Little Rock, AR
National Provider Identifier
1710321955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2683
- Practice address
- 3929 McCain Blvd
North Little Rock, AR 72116 - Phone
- (501) 412-8519
- Fax
- (501) 712-1414
- NPI assigned
- Apr 18, 2013
- Last updated
- Aug 28, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2683 | AR | Primary |
Addresses
Primary practice location
3929 McCain Blvd
North Little Rock, AR 72116
Mailing address
308 Monticello West
Bryant, AR 72022
Phone (870) 723-5573
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Optometrist
- Sherwood, AR
- NPI 1235503558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1710321955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 MONTICELLO WEST",
"city": "BRYANT",
"state": "AR",
"postal_code": "72022",
"telephone_number": "870-723-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 MCCAIN BLVD",
"city": "NORTH LITTLE ROCK",
"state": "AR",
"postal_code": "72116",
"telephone_number": "501-412-8519",
"fax_number": "501-712-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOANG",
"first_name": "KIMMY",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-18",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.