Nha Ngo, OD
Individual provider Active NPI Optometrist · Gulfport, MS
NPI 1316625379 · NPPES record last updated Jul 25, 2023
Key facts
- NPI
- 1316625379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1082 (MS)
- Practice address
- 12199 US-49 N
Unit 100
Gulfport, MS 39503 - Phone
- (228) 832-1832
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Belk Eye Clinic PA
Practice addresses (Care Compare)
12199 Hwy 49
Suite 100
Gulfport, MS 39503-3489
Phone (228) 832-1832
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 19 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230828000732 | MS | Practitioner - Optometry | 3173986981 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1082 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belk Eye Clinic, PA | Optometrist | Current |
Accepting new patients |
Locations
12199 Highway 49
Ste 100
Gulfport, MS 39503
Phone (228) 832-1832
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1082 | MS | Yes |
Addresses
Primary practice location
12199 US-49 N
Unit 100
Gulfport, MS 39503
Mailing address
7412 Old Fort Bayou Rd
Ocean Springs, MS 39564-8195
Phone (228) 238-8687
Other names
- Dr. Ashley Ngo
NPI Registry JSON
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1316625379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7412 OLD FORT BAYOU RD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395648195",
"telephone_number": "228-238-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12199 US-49 N",
"address_2": "UNIT 100",
"city": "GULFPORT",
"state": "MS",
"postal_code": "39503",
"telephone_number": "228-832-1832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "NHA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "1082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "NGO",
"prefix": "DR.",
"credential": "OD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.