Organization Active NPI

KLH Eyes LLC

  • Ophthalmology Physician
  • Germantown, MD
National Provider Identifier
1730645557
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KLH EYES LLC
Practice address
9 Executive Park CT
Germantown, MD 20874-2643
Phone
(240) 668-4150
Fax
(240) 442-1138
NPI assigned
Feb 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Authorized official

Name
Dr. Khoa Dang Hoang, MDNPI 1932362621
Title
MD
Phone
(215) 284-5065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

9 Executive Park CT
Germantown, MD 20874-2643

Mailing address

9 Executive Park CT
Germantown, MD 20874-2643
Phone (240) 668-4150

Other names 1

  • Kind Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190904000944 DC Part B Supplier - Clinic/Group Practice 9931438744 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, MD

National Provider Directory

National Provider Directory

Locations

9 Executive Park Ct
Germantown, MD 20874
Phone (240) 668-4150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568937600000",
    "number": "1730645557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EXECUTIVE PARK CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742643",
            "telephone_number": "240-668-4150",
            "fax_number": "240-442-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 EXECUTIVE PARK CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742643",
            "telephone_number": "240-668-4150",
            "fax_number": "240-442-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLH EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-17",
        "last_updated": "2019-09-20",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "KHOA",
        "authorized_official_middle_name": "DANG",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "215-284-5065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kind Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.