Roxanne Achong-Coan, OD

Individual provider Active NPI Corneal and Contact Management Optometrist · Ocoee, FL

NPI 1366463275 · NPPES record last updated Mar 7, 2008

Key facts

NPI
1366463275
Entity type
Individual (NPI type 1)
Primary specialty
Corneal and Contact Management Optometrist 152WC0802X
License
OP 3204 (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
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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, PA (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20110620000062 FL Practitioner - Optometry 4183802366 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OP 3204FLMDCorneal and Contact Management Optometrist

Practice roles

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

Locations

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

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

Specialties & licenses

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

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

Other providers in Ocoee, FL

All providers in Ocoee, FL · Corneal and Contact Management Optometrist in Florida

Sources for this page

Verify at the official NPI Registry.