Individual provider Active NPI

En Hui Ko, O.D.

  • Optometrist
  • Wellington, FL
National Provider Identifier
1245480508
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4331 Issued in FL
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

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OPC4331OtherFLLICENSE

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
I20090205000419 FL Practitioner - Optometry 6204990237 Reassigns benefits to 1 organization

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
South Florida Eye PAGroup PAC ID 4587799333, 2 clinicians

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

LicenseStateTypeSpecialty
OPC4331FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Eye PA Optometrist CurrentSince Oct 23, 2009 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 PastSince Dec 13, 1997 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.

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

Verify at the official NPI Registry.