Provider Demographics
NPI:1427052984
Name:HONG, HAPPY (OD)
Entity type:Individual
Prefix:DR
First Name:HAPPY
Middle Name:
Last Name:HONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12600 SE 38TH ST STE 108
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-5232
Mailing Address - Country:US
Mailing Address - Phone:425-644-2020
Mailing Address - Fax:
Practice Address - Street 1:445 5TH AVE
Practice Address - Street 2:APT # 18D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-0109
Practice Address - Country:US
Practice Address - Phone:212-725-6622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-11
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT006583-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02618284Medicaid
NY02618284Medicaid
NYU98662Medicare UPIN