Individual provider Active NPI

Jolynn Hoang, OD

  • Optometrist
  • Surprise, AZ
National Provider Identifier
1780163139
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2830 Issued in AZ
Practice address
16968 W Bell Rd Ste 402
Surprise, AZ 85374-8943
Phone
(623) 214-0353
Fax
(623) 214-0693
NPI assigned
Aug 7, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2830 AZ Primary

Addresses

Primary practice location

16968 W Bell Rd Ste 402
Surprise, AZ 85374-8943

Mailing address

16968 W Bell Rd Ste 402
Surprise, AZ 85374-8943
Phone (623) 214-0353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250618002058 AZ Practitioner - Optometry 1153667589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Fors PLLCGroup PAC ID 0244754216, 2 clinicians

Practice addresses (Care Compare)

16968 W Bell Rd
Suite 402
Surprise, AZ 85374-8943
Phone (623) 214-0353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2830AZMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Active Eyecare LLC CurrentSince Jun 6, 2025 Accepting new patients
Eye Fors PLLC Optometrist CurrentSince Jun 6, 2025 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

16968 W Bell Rd
Ste 402
Surprise, AZ 85374
Phone (623) 214-0353

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": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1780163139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16968 W BELL RD STE 402",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748943",
            "telephone_number": "623-214-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16968 W BELL RD STE 402",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748943",
            "telephone_number": "623-214-0353",
            "fax_number": "623-214-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "JOLYNN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.