DR. KEVIN SOONG (OD) – Optometrist, NPI 1528589017

DR. KEVIN SOONG (OD) is a healthcare provider. based in Round rock, Texas. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT003032 (GA). The NPI Number for DR. KEVIN SOONG (OD) is 1528589017

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN SOONG (OD)
NPI
1528589017
Phone
(412) 913-6819
Address
3022 MILL RUN BND
Enumeration Date
5 July 2017
Last Update Date
18 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
5129183937
Graduation Year
2017 (9 years ago)
PAC ID
9133472210
Group Practice PAC ID
0244227486
Professional Enrollment ID
I20181019002412
Address ID
TX786135639CE3419XPKWY401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

3,128 OPTOMETRY in TX

Provider Addresses for DR. KEVIN SOONG (OD)

  • 3022 MILL RUN BND

    ROUND ROCK, TX 786652776

    Phone: (412) 913-6819

    Fax: (512) 918-2028

    Type: Mailing

  • 3419 EL SALIDO PKWY STE 100

    CEDAR PARK, TX 786135639

    Phone: (512) 918-3937

    Fax: (512) 918-2028

    Type: Location

  • 5841 RECREATION DR APT 2221

    FORT WORTH, TX 761091064

    Phone: (412) 913-6819

    Type: Mailing

  • 11901 W Parmer Ln Ste 400

    Cedar Park, TX 786137655

    Phone: (512) 528-1144

    Type: Location

  • Mid Cities Boulevard, Hurst, Tarrant County, Texas, 76180, United States

    HURST, TX 760542748

    Phone: (817) 656-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $1,126.

Total Amount is formed as General ($1,126) + Research ($0) + Ownership ($0) = $1,126.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: BIOTISSUE HOLDINGS INC. ($442).

Total Amount

$1,126

General + Research + Ownership

Payments

25

Total payment records

General Amount

$1,126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-10-19

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
I20181019002412IOptometryTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5445$0
92014Established patient complete exam of visual system4242$0
92004New patient complete exam of visual system2020$0
92134Imaging of retina2020$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 78665)

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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: 0244227486View full group profile
NameSpecialtyState
O P T O M E T R YFL
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

How is DR. KEVIN SOONG (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. KEVIN SOONG (OD) with NPI 1528589017.
Does the file indicate DR. KEVIN SOONG (OD) is practicing under active NPI?
Directory data currently reports DR. KEVIN SOONG (OD) as active.
What is DR. KEVIN SOONG (OD)'s primary classification?
Optometrist is the headline specialty for DR. KEVIN SOONG (OD) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. KEVIN SOONG (OD)?
DR. KEVIN SOONG (OD)'s geographic hint is Round Rock, Texas in our summary view.
Why does DR. KEVIN SOONG (OD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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