Active NPI
Kha Duong OD PA
- Optometrist
- Melbourne, FL
National Provider Identifier
1295040202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.