Individual provider Active NPI

Ha Tran Kwong, O.D.

  • Optometrist
  • Cypress, CA
National Provider Identifier
1861406878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11555T Issued in CA
Practice address
9959 Walker St
Cypress, CA 90630-3827
Phone
(714) 995-2020
Fax
(714) 995-4208
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11555T CA Primary

Addresses

Primary practice location

9959 Walker St
Cypress, CA 90630-3827

Mailing address

9959 Walker St
Cypress, CA 90630-3827
Phone (714) 995-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20200707000015 CA Practitioner - Optometry 9638177454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11555TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ha Tran Kwong O.D., Inc. Optometrist CurrentSince Feb 20, 2006 Accepting new patients

Locations

9959 Walker St
Cypress, CA 90630
Phone (714) 995-2020

Organizations & group practices 1

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861406878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9959 WALKER ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303827",
            "telephone_number": "714-995-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9959 WALKER ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303827",
            "telephone_number": "714-995-2020",
            "fax_number": "714-995-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWONG",
        "first_name": "HA",
        "middle_name": "TRAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11555T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

Verify at the official NPI Registry.