Organization Active NPI

Kha Duong OD PA

  • Optometrist
  • Melbourne, FL
National Provider Identifier
1295040202
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KHA DUONG OD PA
Practice address
278 N Wickham Rd
Melbourne, FL 32935-8625
Phone
(321) 253-9228
Fax
(321) 253-9446
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Dr. Kha Phan Duong, OD
Title
Owner
Phone
(321) 253-9228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

278 N Wickham Rd
Melbourne, FL 32935-8625

Mailing address

278 N Wickham Rd
Melbourne, FL 32935-8625
Phone (321) 253-9228

National Provider Directory

National Provider Directory

Locations

278 N Wickham Rd
Melbourne, FL 32935
Phone (321) 253-5228

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1295040202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358625",
            "telephone_number": "321-253-9228",
            "fax_number": "321-253-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358625",
            "telephone_number": "321-253-9228",
            "fax_number": "321-253-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHA DUONG OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "KHA",
        "authorized_official_middle_name": "PHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-253-9228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.