Individual provider Active NPI

Shirley Shiao-Hui Hong, O.D.

  • Low Vision Rehabilitation Optometrist
  • Rowland Heights, CA
National Provider Identifier
1952311938
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
12811T Issued in CA
Practice address
1380 Fullerton Rd Ste 103
Rowland Heights, CA 91748-1250
Phone
(619) 200-6890
NPI assigned
Aug 9, 2006
Last updated
Aug 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 12811T CA Primary

Addresses

Primary practice location

1380 Fullerton Rd Ste 103
Rowland Heights, CA 91748-1250

Mailing address

4247 Pacific Coast Hwy
Torrance, CA 90505-5525
Phone (424) 341-3931

Other identifiers 2

IdentifierTypeStateIssuer
CB204596OtherCAMEDICARE PTAN
CB246120OtherCAMEDICARE PTAN

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
I20080226000536 CA Practitioner - Optometry 7315021656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forister and Hong OptometryGroup PAC ID 3577863364, 2 clinicians

Practice addresses (Care Compare)

4247 Pacific Coast Hwy
Torrance, CA 90505-5525
Phone (424) 341-3931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12811TCAMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Forister and Hong Optometry CurrentSince Oct 25, 2015 Accepting new patients
Metropolitan Optometric CurrentSince Oct 1, 2013 Accepting new patients
Metropolitan Optometry Inc PastSince Oct 1, 2013 Accepting new patients

Locations

1380 Fullerton Rd
Ste 103
Rowland Heights, CA 91748
Phone (626) 839-0908

4247 Pacific Coast Hwy
Torrance, CA 90505
Phone (424) 341-3931

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1952311938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 PACIFIC COAST HWY",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055525",
            "telephone_number": "424-341-3931",
            "fax_number": "424-341-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 FULLERTON RD STE 103",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917481250",
            "telephone_number": "619-200-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONG",
        "first_name": "SHIRLEY",
        "middle_name": "SHIAO-HUI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "12811T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB204596",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB246120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.