Active NPI
Anh-Dao Thi Ho, O.D. (OPTOMETRIST)
- Optometrist
- Hesperia, CA
National Provider Identifier
1295783710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11062T
- Practice address
- 12795 Main St
Hesperia, CA 92345 - Phone
- (760) 948-0199
- NPI assigned
- May 5, 2006
- Last updated
- Mar 15, 2021
- 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 | 11062T | CA | Primary |
Addresses
Primary practice location
12795 Main St
Hesperia, CA 92345
Mailing address
6807 SVL Box
Victorville, CA 92395
Phone (619) 806-1194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11062T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optometry-Vision With Styles, Inc | Optometrist | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Hesperia, CA
- NPI 1568627644
-
- Optometrist
- San Diego, CA
- NPI 1174593784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1295783710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6807 SVL BOX",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "92395",
"telephone_number": "619-806-1194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12795 MAIN ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "92345",
"telephone_number": "760-948-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "ANH-DAO",
"middle_name": "THI",
"credential": "O.D. (OPTOMETRIST)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-05",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11062T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.