Individual provider Active NPI

Tina Ho, OD

  • Optometrist
  • Lombard, IL
National Provider Identifier
1073248399
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TBA Issued in IL
Practice address
2270 S Elizabeth St
Lombard, IL 60148-7124
Phone
(805) 722-5788
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TBA IL Primary

Addresses

Primary practice location

2270 S Elizabeth St
Lombard, IL 60148-7124

Mailing address

2270 S Elizabeth St
Lombard, IL 60148-7124
Phone (805) 722-5788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240227001803 MI Practitioner - Optometry 6800231143 Reassigns benefits to 1 organization
I20240305001942 IL Practitioner - Optometry 6800231143 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TBAILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc Optometrist CurrentSince Jan 22, 2024 Accepting new patients
Visionworks, Inc CurrentSince Jan 22, 2024 Accepting new patients
Visionworks, Inc. Optometrist CurrentSince Jan 22, 2024 Accepting new patients

Locations

239 Golf Mill Ctr
Ste 255
Niles, IL 60714
Phone (847) 297-2286

2422 US Highway 34
Oswego, IL 60543
Phone (630) 551-4133

3620 28th St SE
Kentwood, MI 49512
Phone (616) 512-0323

23360 Eureka Rd
Taylor, MI 48180
Phone (734) 287-0024

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1073248399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 S ELIZABETH ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487124",
            "telephone_number": "805-722-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 S ELIZABETH ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601487124",
            "telephone_number": "805-722-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "TINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "TBA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

Verify at the official NPI Registry.