Individual provider Active NPI

Ellen Ho, O.D.

  • Optometrist
  • Chester, VA
National Provider Identifier
1396958716
Registry record updated Apr 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000816 Issued in VA
Practice address
13537 Hickory Glen Rd
Chester, VA 23831-6705
Phone
(804) 796-9726
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000816 VA Primary

Addresses

Primary practice location

13537 Hickory Glen Rd
Chester, VA 23831-6705

Mailing address

13537 Hickory Glen Rd
Chester, VA 23831-6705
Phone (804) 796-9726

Other identifiers 1

IdentifierTypeStateIssuer
9231048MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20040304000380 VA Practitioner - Optometry 9739076563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Gilbert and Farley OdpcGroup PAC ID 8123156437, 3 clinicians

Practice addresses (Care Compare)

3731 Boulevard
Suite a
Colonial Heights, VA 23834-1346
Phone (804) 526-3676

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000816VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Gilbert & Farley Odpc Optometrist CurrentSince May 1, 2012 Accepting new patients
Senior Medical Specialties, Inc. Optometrist Past Accepting new patients
Community Bridges, Inc. PastSince May 1, 2012 Accepting new patients
Lebow Eye Associates, P.C. Optometrist Past Accepting new patients
Lyndon Graves, P.C. Optometrist Past Accepting new patients
Lebow Eye Associates, P.C. Optometrist Past Accepting new patients

Locations

3731 Boulevard
Colonial Heights, VA 23834
Phone (804) 526-3676

3731 Boulevard
Ste A
Colonial Hgts, VA 23834
Phone (804) 526-3676

Organizations & group practices 6

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335398400000",
    "number": "1396958716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13537 HICKORY GLEN RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316705",
            "telephone_number": "804-796-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13537 HICKORY GLEN RD",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238316705",
            "telephone_number": "804-796-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9231048",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, VA

Sources for this page

Verify at the official NPI Registry.