Individual provider Active NPI

Anh V DO, O.D.

  • Corneal and Contact Management Optometrist
  • Orlando, FL
National Provider Identifier
1124361050
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPC4761 Issued in FL
Practice address
222 Neighborhood Market Rd Ste 105
Orlando, FL 32825-3525
Phone
(407) 930-5566
Fax
(321) 549-6242
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4761 FL
Optometrist 152W00000X 8010T TX
Pediatric Optometrist 152WP0200X OPC4761 FL
Occupational Vision Optometrist 152WX0102X OPC4761 FL
Corneal and Contact Management Optometrist 152WC0802X OPC4761 FL Primary

Addresses

Primary practice location

222 Neighborhood Market Rd Ste 105
Orlando, FL 32825-3525

Mailing address

222 Neighborhood Market Rd Ste 105
Orlando, FL 32825-3525
Phone (407) 930-5566

Other practice location 1

681 Douglas Ave Ste 109
Altamonte Springs, FL 32714-2583
Phone (407) 930-5566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140624002457 FL Practitioner - Optometry 2264656743 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samuel J Teske OD PAGroup PAC ID 2860780574, 12 clinicians

Practice addresses (Care Compare)

1340 Tuskawilla Rd
Suite 107
Winter Springs, FL 32708-5030
Phone (407) 699-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8010TTXMDOptometrist
OPC4761FLMDOccupational Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel J Teske OD PA Optometrist CurrentSince Jan 24, 2024 Accepting new patients
HD Eyecare Corporation Optometrist CurrentSince Apr 7, 2015 Accepting new patients
Vision Source Maitland, LLC Optometrist CurrentSince May 1, 2014 Accepting new patients
True Eye Experts West Palm LLC Optometrist PastSince Sep 12, 2021 Accepting new patients

Locations

222 Neighborhood Market Rd
Ste 105
Orlando, FL 32825
Phone (321) 251-1121

567 S Chickasaw Trl
Orlando, FL 32825
Phone (407) 281-0866

1020 Lockwood Blvd
Oviedo, FL 32765
Phone (407) 971-1001

19070 Bruce B Downs Blvd
Tampa, FL 33647
Phone (813) 632-2020

1340 Tuskawilla Rd
Ste 107
Winter Springs, FL 32708
Phone (407) 699-4000

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1124361050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NEIGHBORHOOD MARKET RD STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253525",
            "telephone_number": "407-930-5566",
            "fax_number": "321-549-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEIGHBORHOOD MARKET RD STE 105",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253525",
            "telephone_number": "407-930-5566",
            "fax_number": "321-549-6242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "681 Douglas Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327142583",
            "country_code": "US",
            "telephone_number": "407-930-5566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "ANH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4761",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8010T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC4761",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "FL",
            "license": "OPC4761",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC4761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.