Provider Demographics
NPI:1669578449
Name:HONG, NARAH K (OD)
Entity type:Individual
Prefix:DR
First Name:NARAH
Middle Name:K
Last Name:HONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:NARAH
Other - Middle Name:K
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1900 DEPTFORD CENTER RD
Mailing Address - Street 2:
Mailing Address - City:DEPTFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08096-5624
Mailing Address - Country:US
Mailing Address - Phone:856-874-0011
Mailing Address - Fax:856-874-0015
Practice Address - Street 1:1720 MARLTON PIKE E
Practice Address - Street 2:SOHO OPTICAL
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08003-2301
Practice Address - Country:US
Practice Address - Phone:856-874-0011
Practice Address - Fax:856-874-0015
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00590600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJV06863Medicare UPIN
NJ095109U9XMedicare ID - Type Unspecified
NJ095109ZANTMedicare PIN