NPIMap

Organization Active NPI

Carole L. Hong OD Inc.

  • Optometrist
  • San Carlos, CA
National Provider Identifier
1952847352
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9662 Issued in CA
Legal business name
CAROLE L. HONG OD INC.
Practice address
1234 Cherry St
San Carlos, CA 94070-3110
Phone
(650) 593-1661
Fax
(650) 595-5203
NPI assigned
Jan 10, 2017
Last updated
Jan 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Authorized official

Name
Dr. Carole L Hong, ODNPI 1982685509
Title
OD, Owner
Phone
(650) 593-1661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9662 CA Primary

Addresses

Primary practice location

1234 Cherry St
San Carlos, CA 94070-3110

Mailing address

1234 Cherry St
San Carlos, CA 94070-3110
Phone (650) 593-1661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170310002089 CA Part B Supplier - Clinic/Group Practice 4587948534 Receives reassigned benefits from 5 practitioners
Practice locations: San Carlos, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1952847352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 CHERRY ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703110",
            "telephone_number": "650-593-1661",
            "fax_number": "650-595-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 CHERRY ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703110",
            "telephone_number": "650-593-1661",
            "fax_number": "650-595-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLE L. HONG OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "HONG",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OD, OWNER",
        "authorized_official_telephone_number": "650-593-1661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.