Provider Demographics
NPI:1952847352
Name:CAROLE L. HONG OD INC.
Entity Type:Organization
Organization Name:CAROLE L. HONG OD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:650-593-1661
Mailing Address - Street 1:1234 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-3110
Mailing Address - Country:US
Mailing Address - Phone:650-593-1661
Mailing Address - Fax:650-595-5203
Practice Address - Street 1:1234 CHERRY ST
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-3110
Practice Address - Country:US
Practice Address - Phone:650-593-1661
Practice Address - Fax:650-595-5203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9662152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty