Individual provider Active NPI

Roxanne Achong-Coan, OD

  • Corneal and Contact Management Optometrist
  • Ocoee, FL
National Provider Identifier
1366463275
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OP 3204 Issued in FL
Practice address
10101 W Colonial Dr
Suite 100
Ocoee, FL 34761-4213
Phone
(407) 445-5170
Fax
(407) 299-5036
NPI assigned
Jul 23, 2006
Last updated
Mar 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OP 3204 FL Primary

Addresses

Primary practice location

10101 W Colonial Dr
Suite 100
Ocoee, FL 34761-4213

Mailing address

10101 W Colonial Dr
Suite 100
Ocoee, FL 34761-4213
Phone (407) 445-5170

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
I20110620000062 FL Practitioner - Optometry 4183802366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roxanne Achong OD, PAGroup PAC ID 2668572280, 2 clinicians

Practice addresses (Care Compare)

10101 W Colonial Dr
Ocoee, FL 34761-4213
Phone (407) 445-5170

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP 3204FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Roxanne Achong OD, PA CurrentSince Nov 20, 2001 Accepting new patients

Locations

10101 W Colonial Dr
Ocoee, FL 34761
Phone (407) 445-5170

10101 W Colonial Dr
Ste 100
Ocoee, FL 34761
Phone (407) 445-5170

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1366463275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 W COLONIAL DR",
            "address_2": "SUITE 100",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614213",
            "telephone_number": "407-445-5170",
            "fax_number": "407-299-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 W COLONIAL DR",
            "address_2": "SUITE 100",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614213",
            "telephone_number": "407-445-5170",
            "fax_number": "407-299-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHONG-COAN",
        "first_name": "ROXANNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OP 3204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

Verify at the official NPI Registry.