Organization Active NPI

Victor Y. Ho, O.D. a Professional Corporation

  • Optometrist
  • Stockton, CA
National Provider Identifier
1336508381
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10589T Issued in CA
Legal business name
VICTOR Y. HO, O.D. A PROFESSIONAL CORPORATION
Practice address
3031 W March LN Ste 211
Stockton, CA 95219-6567
Phone
(209) 272-7537
Fax
(209) 272-7285
NPI assigned
Feb 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Authorized official

Name
Dr. Victor Yep Ho, O.D.NPI 1598891228
Title
Owner
Phone
(209) 272-7537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 10589T CA Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X 10589T CA
Low Vision Rehabilitation OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WL0500X 10589T CA

Addresses

Primary practice location

3031 W March LN Ste 211
Stockton, CA 95219-6567

Mailing address

3031 W March LN Ste 211
Stockton, CA 95219-6567
Phone (209) 272-7537

Other identifiers 2

IdentifierTypeStateIssuer
3764736MedicaidCA
P00827285OtherCARAILROAD MEDICARE

Other names 1

  • VICTOR Y. HO, O.D. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170616001784 CA Part B Supplier - Clinic/Group Practice 0446528301 Receives reassigned benefits from 1 practitioner
Practice locations: Stockton, CA

National Provider Directory

National Provider Directory

Locations

3031 W March Ln
Ste 211
Stockton, CA 95219
Phone (209) 272-7537

3031 W March Ln
Ste 211W
Stockton, CA 95219

1069 W March Ln
Stockton, CA 95207
Phone (209) 951-4506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1336508381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W MARCH LN STE 211",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196567",
            "telephone_number": "209-272-7537",
            "fax_number": "209-272-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W MARCH LN STE 211",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952196567",
            "telephone_number": "209-272-7537",
            "fax_number": "209-272-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR Y. HO, O.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "HO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "YEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-272-7537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10589T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "10589T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "10589T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3764736",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00827285",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTOR Y. HO, O.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "VICTOR Y. HO, O.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.