Vicky Than, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5980 Issued in FL

Practice address

16230 State Road 54
Odessa, FL 33556-3729

Phone

(813) 926-5993

NPI assigned

Jul 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Beyond 2020 Vision Specialists OdessaGroup PAC ID 4082153119, 2 clinicians

Beyond 2020 Vision Specialists Wesley ChapelGroup PAC ID 5991232415, 2 clinicians

Beyond 2020 Vision Specialists East LakeGroup PAC ID 4183151848, 3 clinicians

Beyond 2020 Vision Specialists Port RicheyGroup PAC ID 9537696042, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Beyond 2020 Vision Specialists East Lake

  • Optometrist
  • Palm Harbor, FL
  • NPI 1366275190
  Medicare reassignment Care Compare group NPD Authorized official
• Beyond 2020 Vision Specialists Odessa

  • Optometrist
  • Odessa, FL
  • NPI 1366275133
  Medicare reassignment Care Compare group NPD
• Beyond 2020 Vision Specialists Port Richey

  • Optometrist
  • Port Richey, FL
  • NPI 1700692902
  Medicare reassignment Care Compare group NPD
• Beyond 2020 Vision Specialists Wesley Chapel

  • Optometrist
  • Wesley Chapel, FL
  • NPI 1730905951
  Medicare reassignment Care Compare group NPD
• Myoptics Eye Care LLC

  • Optometrist
  • Port Richey, FL
  • NPI 1073310199
  Medicare reassignment NPD Authorized official
• Beyond 2020 Vision Specialists LLC

  • Optometrist
  • Tampa, FL
  • NPI 1003561283
  Medicare reassignment NPD
• Beyond 2020 Vision Specialists Lakewood Ranch

  • Optometrist
  • Sarasota, FL
  • NPI 1932993755
  NPD (past)

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1376116558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16230 STATE ROAD 54",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563729",
            "telephone_number": "813-926-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16230 STATE ROAD 54",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563729",
            "telephone_number": "813-926-5993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4974 Ridgemoor Blvd",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346851744",
            "country_code": "US",
            "telephone_number": "813-926-5993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7802 Citrus Park Town Center Mall",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336253178",
            "country_code": "US",
            "telephone_number": "813-286-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "343 Westshore Plz",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336091812",
            "country_code": "US",
            "telephone_number": "813-286-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAN",
        "first_name": "VICKY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-23",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Odessa, FL
• Providers in Odessa, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.