DR. KEVIN JUE DONG (O.D.) – Optometrist, NPI 1366411894

DR. KEVIN JUE DONG (O.D.) is a healthcare provider. based in Pleasant hill, California. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 12175T (CA). The NPI Number for DR. KEVIN JUE DONG (O.D.) is 1366411894

Main info

Male
24 Years Of Experience
Name
DR. KEVIN JUE DONG (O.D.)
NPI
1366411894
Phone
Not provided
Address
401 GREGORY LN
Enumeration Date
16 March 2006
Last Update Date
30 July 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9256877638
Graduation Year
2002 (24 years ago)
PAC ID
1254225949
Group Practice PAC ID
6709808074
Professional Enrollment ID
I20040212000442
Address ID
CA945232851PL401XXLNXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Loading map...

Provider Addresses for DR. KEVIN JUE DONG (O.D.)

  • 401, Gregory Lane, Gregory Gardens, Pleasant Hill, Contra Costa County, California, 94523, United States

    SUITE 110

    PLEASANT HILL, CA 945232800

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040212000442IOptometryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94523)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709808074View full group profile
NameSpecialtyState
O P T O M E T R YCA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for DR. KEVIN JUE DONG (O.D.)?
DR. KEVIN JUE DONG (O.D.) — NPI 1366411894 — is the standard way to identify this listing.
Does the file indicate DR. KEVIN JUE DONG (O.D.) is practicing under active NPI?
Directory data currently reports DR. KEVIN JUE DONG (O.D.) as active.
What is DR. KEVIN JUE DONG (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. KEVIN JUE DONG (O.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. KEVIN JUE DONG (O.D.) list a practice location?
Patients near Pleasant Hill, California may find DR. KEVIN JUE DONG (O.D.) in results; validate coverage separately.
Why does DR. KEVIN JUE DONG (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

401, Gregory Lane, Gregory Gardens, Pleasant Hill, Contra Costa County, California, 94523, United States
NPI: 1215907076
401, Gregory Lane, Gregory Gardens, Pleasant Hill, Contra Costa County, California, 94523, United States
NPI: 1366416596
533, Ridgeview Court, Ridgeview, Pleasant Hill, Contra Costa County, California, 94523, United States
NPI: 1477508331
61, Chilpancingo Parkway, Camelback, Pleasant Hill, Contra Costa County, California, 94523, United States
NPI: 1124053152
110A MINOR HALL ADDITION
NPI: 1629082318
2628, Pleasant Hill Road, Shannon Hills, Pleasant Hill, Contra Costa County, California, 94523, United States
NPI: 1104907690
PO BOX 2111
NPI: 1407906571
224, Babette Court, Pleasant Valley, Pleasant Hill, Contra Costa County, California, 94523, United States
NPI: 1194876987
1800 HARRISON ST
NPI: 1497808620