Dr Kevin Hoang OD Professional Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR KEVIN HOANG OD PROFESSIONAL CORP

Practice address

4840 Shawline St
San Diego, CA 92111-1400

Phone

(858) 560-5742

NPI assigned

Aug 17, 2022

Last updated

Jun 26, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Hoang, ODNPI 1790339216

Title

Optometrist/Ceo

Phone

(858) 560-5742

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Kevin Hoang, OD

  • Optometrist
  • San Diego, CA
  • NPI 1790339216
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1851019780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 SHAWLINE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111400",
            "telephone_number": "858-560-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 SHAWLINE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111400",
            "telephone_number": "858-560-5742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR KEVIN HOANG OD PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OPTOMETRIST/CEO",
        "authorized_official_telephone_number": "858-560-5742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Fina Yvette Madrid DDS PC (Pristine Dental)
• Dr George K Reese Professional Chiropractic Corporation
• Dr Isabel Smith Chiropractic Corporation (Paisley Wellness Center)
• Dr Jacob Andrew Paulsen PHD Licensed Clinical Psychologist Inc
• Dr Jaiswals Medical Center PC
• Dr Larry Herring PA (Herring Chiropractic)
• Dr Linda Oliver Chiropractic Inc (Health Point Wellness)
• Dr Lisa Shives, MD, PC (Lisa Shives MD Sleep Solutions)
• Dr Lokesh S Tantuwaya M D Inc
• Dr Michael L. Reynolds DDS Inc

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.