Active NPI
Roxanne Achong OD, PA
Doing business as Coan Eye Care
- Optometrist
- Ocoee, FL
National Provider Identifier
1386665230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 3204
- Legal business name
- ROXANNE ACHONG OD, PA
- Doing business as
- Coan Eye Care
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roxanne Achong, OD
- Title
- President
- Phone
- (407) 445-5170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6210674300 | Medicaid | FL |
Other names 1
- COAN EYE CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
10101 W Colonial Dr
Ocoee, FL 34761
Phone (407) 445-5170
10101 W Colonial Dr
Ste 100
Ocoee, FL 34761
Phone (407) 445-5170
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Corneal and Contact Management Optometrist
- Ocoee, FL
- NPI 1366463275
-
- Optometrist
- Ocoee, FL
- NPI 1689698599
-
- Optometrist
- Ocoee, FL
- NPI 1609723949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1386665230",
"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": {
"organization_name": "ROXANNE ACHONG OD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-23",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "ACHONG",
"authorized_official_first_name": "ROXANNE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "407-445-5170",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC 3204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6210674300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "COAN EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ocoee, FL
- Bennett M Rosenthal, MS PHD MD PA
- Marie Chrisly Rosier
- Regan D Rostorfer, MD
- Jared Joseph Roth, P.T.,D.P.T.
- Nicholas Rothstein, DPT
- Ruby Valley Investments, PLLC (Contemporary Dental Care)
- Shea-Racquel Russell
- Jessica Lynn Ryan, BCBA
- N Thomas Ryan, MD
- S & T Enterprises of Tampa Inc (Mobility Express of Orlando)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.