Anh My Phung, O.D.
Individual provider Active NPI Optometrist · Tampa, FL
NPI 1407130644 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1407130644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC5405 (FL)
- Practice address
- 1510 E Fowler Ave
Tampa, FL 33612-5416 - Phone
- (813) 971-0471
- Fax
- (813) 464-2763
- NPI assigned
- Oct 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aria Vision Care, P.a.
Practice addresses (Care Compare)
1200 S Pine Island Rd
Plantation, FL 33324-4409
Phone (888) 840-8937
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 84.52
- Improvement activities
- 40
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170815003791 | FL | Practitioner - Optometry | 5991962755 |
Reassigns benefits to 5 organizations Practice locations: Ruskin, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5405 | FL | MD | Optometrist |
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Mobile Eye Care, Inc | Optometrist | Current |
Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Advanced Surgical Mobile Eye Care LLC | Current |
Accepting new patients | |
| Aria Vision Care, P.a. | Optometrist | Current |
Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current |
Accepting new patients |
| Gulf Coast Optometry, PA | Current |
Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients | |
| Atlanta Eye Center, LLC | Optometrist | Past | Accepting new patients |
Locations
706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318
445 Apollo Beach Blvd
Apollo Beach, FL 33572
Phone (813) 886-2020
10934 N Dale Mabry Hwy
Carrollwood, FL 33618
Phone (813) 559-4990
30323 US Highway 19 N
Clearwater, FL 33761
Phone (727) 373-3030
2660 Gulf To Bay Blvd
Clearwater, FL 33759
Phone (727) 683-7207
535 S Ferdon Blvd
Ste B
Crestview, FL 32536
Phone (850) 226-7322
4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217
3635 US Highway 98 N
Lakeland, FL 33809
Phone (863) 937-9045
2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937
25 W College Ave
Ste D
Ruskin, FL 33570
Phone (813) 886-2020
2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226
3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043
1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018
10224 E Adamo Dr
Tampa, FL 33619
Phone (813) 315-9898
1510 E Fowler Ave
Tampa, FL 33612
Phone (813) 971-0471
5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873
27835 Wesley Chapel Blvd
Ste 110
Wesley Chapel, FL 33544
Phone (813) 907-9122
8500 W 110th St
Ste 450
Overland Park, KS 66210
Phone (913) 362-1112
Networks
- Freedom Health HMO Network
Interoperability endpoints
- aphung@asmec.eyefinity-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002670 | GA | |
| Optometrist | 152W00000X | OPC5405 | FL | Yes |
Addresses
Primary practice location
1510 E Fowler Ave
Tampa, FL 33612-5416
Mailing address
1005 Lyndhurst Way SE
Conyers, GA 30013-2999
Phone (770) 891-0683
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021625600 | Medicaid | FL |
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.