Active NPI
Hong Gao, O.D.
- Optometrist
- Bethesda, MD
National Provider Identifier
1710957840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002042
- Practice address
- 4975 North Palmer Rd BLDG 85T
Bethesda, MD 20889-0001 - Phone
- (301) 295-0213
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- 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 | OPC3707 | FL | |
| Optometrist | 152W00000X | OPT002042 | GA | Primary |
Addresses
Primary practice location
4975 North Palmer Rd BLDG 85T
Bethesda, MD 20889-0001
Mailing address
4975 North Palmer Rd BLDG 85T
Bethesda, MD 20889-5629
Phone (301) 295-0213
Other practice location 1
2104 Massey Ave.
Naval Station Mayport,
Mayport, FL 32228
Phone (904) 270-4323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC3707 | FL | MD | Optometrist |
| OPT002042 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689811200000",
"number": "1710957840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4975 NORTH PALMER RD BLDG 85T",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208895629",
"telephone_number": "301-295-0213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4975 NORTH PALMER RD BLDG 85T",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-0213"
}
],
"practiceLocations": [
{
"address_1": "2104 MASSEY AVE.",
"address_2": "NAVAL STATION MAYPORT,",
"address_purpose": "LOCATION",
"city": "MAYPORT",
"state": "FL",
"postal_code": "32228",
"country_code": "US",
"telephone_number": "904-270-4323",
"fax_number": "904-270-4457",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAO",
"first_name": "HONG",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2023-07-20",
"certification_date": "2023-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC3707",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.