Individual provider Active NPI

Anh My Phung, O.D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1407130644
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5405 Issued in FL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815003791 FL Practitioner - Optometry 5991962755 Reassigns benefits to 5 organizations
Practice locations: Ruskin, FL

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
Aria Vision Care, P.a.Group PAC ID 3971981713, 3 clinicians

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 100Reported as group
Quality
84.52
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5405FLMDOptometrist
OPT002670GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Vision Care, P.a. Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Aug 7, 2020 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
West Coast Mobile Eye Care, Inc Optometrist CurrentSince Sep 1, 2022 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jul 10, 2017 Accepting new patients
Advanced Surgical Mobile Eye Care LLC CurrentSince Jul 3, 2018 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

  • Direct secure messaging: 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.

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

Sources for this page

Verify at the official NPI Registry.