Individual provider Active NPI

Stephanie Sui-Sze Ho, O.D.

  • Optometrist
  • Auburn, WA
National Provider Identifier
1417154832
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD4140 Issued in WA
Practice address
17500 SE 392ND St
Auburn, WA 98092-9705
Phone
(253) 939-6648
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 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 OD4140 WA Primary

Addresses

Primary practice location

17500 SE 392ND St
Auburn, WA 98092-9705

Mailing address

8101 118TH CT SE
Newcastle, WA 98056-9183
Phone (267) 608-6556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130117000494 WA Practitioner - Optometry 5991958282 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD4140WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Eye Care Optometrist CurrentSince Jul 1, 2013 Accepting new patients
Aeg Washington Professional PC Optometrist Past Accepting new patients
Vanessa Michel PLLC Optometrist PastSince Jul 13, 2018 Accepting new patients

Locations

2501 N 45th St
Seattle, WA 98103
Phone (206) 526-5060

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1417154832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 118TH CT SE",
            "city": "NEWCASTLE",
            "state": "WA",
            "postal_code": "980569183",
            "telephone_number": "267-608-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 SE 392ND ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980929705",
            "telephone_number": "253-939-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "STEPHANIE",
        "middle_name": "SUI-SZE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD4140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.