Mary Kim Hoang, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

15359 Issued in CA

Practice address

1102 Irvine Blvd
Tustin, CA 92780-3529

Phone

(714) 838-3210

Fax

(714) 838-5702

NPI assigned

Oct 1, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Western University of Health Sciences College of Dental Med, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• M.K. Hoang O.D. Inc.

  • Optometrist
  • Tustin, CA
  • NPI 1669193587
  Medicare reassignment NPD Authorized official
• Larry J Gottlieb Inc a Professional Corporation

  • Optometrist
  • Lakewood, CA
  • NPI 1235537119
  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1861862906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803529",
            "telephone_number": "714-838-3210",
            "fax_number": "714-838-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 IRVINE BLVD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803529",
            "telephone_number": "714-838-3210",
            "fax_number": "714-838-5702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908072218",
            "country_code": "US",
            "telephone_number": "562-426-3925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "MARY",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Buu Ho
• Juliana Ho
• Tiffany Ho
• Hoag Urgent Care - RSM Inc
• Hoag Urgent Care Tustin Inc
• Mimi Ngoc Hoang, DO
• Brian Curtis Hockett, MS, AMFT
• Kalyn Hoffman, MD
• Leslie Nicole Hofmeister, M.S.
• Lisa Holland-Fretz, MA, LMFT

• Optometrist in Tustin, CA
• Providers in Tustin, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.