Active NPI
En Hui Ko, O.D.
- Optometrist
- Wellington, FL
National Provider Identifier
1245480508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4331
- Practice address
- 157 S State Road 7
#104
Wellington, FL 33414-4384 - Phone
- (561) 795-1286
- Fax
- (561) 795-1197
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC4331 | FL | Primary |
Addresses
Primary practice location
157 S State Road 7
#104
Wellington, FL 33414-4384
Mailing address
2159 Oakmont Dr
Riviera Beach, FL 33404-1832
Phone (561) 568-8274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC4331 | Other | FL | LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11001 Southern Blvd
Royal Palm Beach, FL 33411-4240
Phone (561) 803-8833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4331 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Florida Eye PA | Optometrist | Current | Accepting new patients |
| East Florida Eye Institute PA | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| Vision One Inc | Optometrist | Past | Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients | |
| Vision One Inc | Optometrist | Past | Accepting new patients |
| Vision One Inc | Optometrist | Past | Accepting new patients |
Locations
11001 Southern Blvd
Royal Palm Beach, FL 33411
Phone (561) 803-8822
Organizations & group practices 8
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.
-
- Optometrist
- Royal Palm Beach, FL
- NPI 1144556598
-
- Eyewear Supplier
- Stuart, FL
- NPI 1801950647
-
- Eyewear Supplier
- Altamonte Springs, FL
- NPI 1023164886
-
- Eyewear Supplier
- Fort Meyers, FL
- NPI 1477607521
-
- Eyewear Supplier
- Royal Palm Beach, FL
- NPI 1548442551
-
- Optometrist
- Daytona Beach, FL
- NPI 1457308322
-
- Optometrist
- Port Orange, FL
- NPI 1467538272
-
- Optometrist
- Daytona Beach, FL
- NPI 1952314346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256515200000",
"number": "1245480508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2159 OAKMONT DR",
"city": "RIVIERA BEACH",
"state": "FL",
"postal_code": "334041832",
"telephone_number": "561-568-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 S STATE ROAD 7",
"address_2": "#104",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334144384",
"telephone_number": "561-795-1286",
"fax_number": "561-795-1197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "EN HUI",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2009-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OPC4331",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.