Individual provider Active NPI

Thanh Thao Thi Ho, O.D.

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1336404342
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4748 Issued in FL
Practice address
3968 SW Archer Rd # W101
Gainesville, FL 32608-2342
Phone
(352) 376-6622
NPI assigned
Jul 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002634 PA
Optometrist 152W00000X OPC 4748 FL Primary

Addresses

Primary practice location

3968 SW Archer Rd # W101
Gainesville, FL 32608-2342

Mailing address

1922 Greystone TRL
Orlando, FL 32818-4784
Phone (407) 230-3663

Other practice location 1

5533 SW 64th St
Gainesville, FL 32608-9608
Phone (407) 230-3663

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
I20130725000297 FL Practitioner - OptometryPractitioner - Ophthalmology 6406097963 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4748FLMDOptometrist
OEG002634PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr. Optometry of Florida, LLC Optometrist CurrentSince Mar 22, 2022 Accepting new patients

Locations

102 Henry Ave
Plant City, FL 33563
Phone (813) 704-6090

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1336404342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 GREYSTONE TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328184784",
            "telephone_number": "407-230-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3968 SW ARCHER RD # W101",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082342",
            "telephone_number": "352-376-6622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5533 SW 64th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326089608",
            "country_code": "US",
            "telephone_number": "407-230-3663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "THANH THAO",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002634",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.