Active NPI
Anh My Phung, O.D.
- Optometrist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5405
- Practice address
- 1510 E Fowler Ave
Tampa, FL 33612-5416 - Phone
- (813) 971-0471
- Fax
- (813) 464-2763
- NPI assigned
- Oct 6, 2011
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002670 | GA | |
| Optometrist | 152W00000X | OPC5405 | FL | Primary |
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
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5405 | FL | MD | Optometrist |
| OPT002670 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Vision Care, P.a. | Optometrist | Current | Accepting new patients |
| Gulf Coast Optometry, PA | Current | Accepting new patients | |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting 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 | |
| National Vision, Inc. | Past | Accepting new patients | |
| Atlanta Eye Center, LLC | Optometrist | Past | Accepting new patients |
| National Vision, Inc. | 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
2660 Gulf To Bay Blvd
Clearwater, FL 33759
Phone (727) 683-7207
30323 US Highway 19 N
Clearwater, FL 33761
Phone (727) 373-3030
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
10224 E Adamo Dr
Tampa, FL 33619
Phone (813) 315-9898
1510 E Fowler Ave
Tampa, FL 33612
Phone (813) 971-0471
1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018
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 (888) 674-1211
Networks
- Freedom Health HMO Network
Interoperability endpoints
- aphung@asmec.eyefinity-direct.com
Organizations & group practices 10
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.
-
- Optometrist
- Plantation, FL
- NPI 1023778172
-
- Ophthalmology Physician
- Ruskin, FL
- NPI 1821597147
-
- Corneal and Contact Management Optometrist
- Tampa, FL
- NPI 1083859409
-
- Optometrist
- Ruskin, FL
- NPI 1205908530
-
- Optometrist
- Orlando, FL
- NPI 1164308771
-
- Optometrist
- Tampa, FL
- NPI 1114012689
-
- Optometrist
- Tampa, FL
- NPI 1275723538
-
- Optometrist
- Atlanta, GA
- NPI 1205930666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1407130644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 LYNDHURST WAY SE",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132999",
"telephone_number": "770-891-0683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 E FOWLER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336125416",
"telephone_number": "813-971-0471",
"fax_number": "813-464-2763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUNG",
"first_name": "ANH",
"middle_name": "MY",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002670",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC5405",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- Phoenix Home Health LLC
- Phoenix Medical Centers Corp
- Phoenix Programs of Florida, Inc. Dba Phoenix Houses of Florida, Inc.
- Tonya Phoenix-Vetino
- PHRC Orlando PLLC
- Vania Phuoc, M.D.
- Phycon Medical Sciences Inc (Phycon Diagnostic Imaging)
- Physiatry Consultants LLC
- Physical Medicine Center
- Physical Medicine Health Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.