Dae Heung

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001372 Issued in VA

Legal business name

DAE HEUNG

Practice address

8200 Sudley Rd
Manassas, VA 20109-3459

Phone

(703) 369-9356

Fax

(703) 369-4861

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Seung Woo Hong, O.D.NPI 1588722011

Title

Owner

Phone

(540) 454-7288

Specialties & licenses 2

Addresses

Locations

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.

• Seung Woo Hong, O.D.

  • Optometrist
  • Manassas, VA
  • NPI 1588722011
  NPD (past) Authorized official

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801954250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20336 CHARTER OAK DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477409",
            "telephone_number": "540-242-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 SUDLEY RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093459",
            "telephone_number": "703-369-9356",
            "fax_number": "703-369-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAE HEUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "SEUNG  WOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-454-7288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001372",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1854",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Olakunbi Opeyemi Dada
• Rodeline Dalge
• Behaylu Ayalew Dametew, DDS
• Stephanie Mariederosa Dangerfield, OTD- OTR
• Daniel Poth, O.D. and Associates, P.C. (Visionworks Doctors of Optometry)
• Dalton R Daniel, MD

• Optometrist in Manassas, VA
• Providers in Manassas, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.