Individual provider Active NPI

Viginia Ho, OD

  • Optometrist
  • Burnsville, MN
National Provider Identifier
1225657067
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3694 Issued in MN
Practice address
14050 Burnhaven Dr
Burnsville, MN 55337-4407
Phone
(952) 229-6462
NPI assigned
Apr 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3694 MN Primary

Addresses

Primary practice location

14050 Burnhaven Dr
Burnsville, MN 55337-4407

Mailing address

4727 Ashton Curv
Woodbury, MN 55129-1900
Phone (626) 297-1432

Other practice location 1

995 Blue Gentian Rd
Eagan, MN 55121-1542
Phone (612) 439-8075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CO2 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
I20210421001270 MN Practitioner - Optometry 7911315445 Reassigns benefits to 1 organization
I20231004002829 CO Practitioner - Optometry 7911315445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steel Optical Inc Professional CorporationGroup PAC ID 6305242280, 3 clinicians

Practice addresses (Care Compare)

14050 Burnhaven Dr
Burnsville, MN 55337-4407
Phone (952) 229-6449

5050 N Nevada Ave
Colorado Springs, CO 80918-8602
Phone (719) 900-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3694MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Steel Optical Inc Professional Corporation Optometrist CurrentSince May 14, 2021 Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients

Locations

5050 N Nevada Ave
Colorado Springs, CO 80918
Phone (719) 264-5010

14050 Burnhaven Dr
Burnsville, MN 55337
Phone (952) 229-6449

995 Blue Gentian Rd
Eagan, MN 55121
Phone (612) 439-8070

Organizations & group practices 2

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": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1225657067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 ASHTON CURV",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551291900",
            "telephone_number": "626-297-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 BURNHAVEN DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374407",
            "telephone_number": "952-229-6462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 Blue Gentian Rd",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551211542",
            "country_code": "US",
            "telephone_number": "612-439-8075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "VIGINIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-12",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.