Organization Active NPI

Vanna Hoang OD Inc

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1558771808
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11892T Issued in CA
Legal business name
VANNA HOANG OD INC
Practice address
1232 S Magnolia Ave
Anaheim, CA 92804-5116
Phone
(714) 757-4747
Fax
(714) 948-5959
NPI assigned
May 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Vanna T Hoang, OPTOMETRISTNPI 1851424071
Title
Ceo
Phone
(714) 757-4747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11892T CA Primary

Addresses

Primary practice location

1232 S Magnolia Ave
Anaheim, CA 92804-5116

Mailing address

1232 S Magnolia Ave
Anaheim, CA 92804-5116
Phone (714) 757-4747

Other practice location 1

10872 Westminster Ave Ste 112
Garden Grove, CA 92843-4981
Phone (714) 636-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160728000902 CA Part B Supplier - Clinic/Group Practice 4688967656 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA

National Provider Directory

National Provider Directory

Locations

1232 S Magnolia Ave
Anaheim, CA 92804
Phone (714) 723-0220

10872 Westminster Ave
Ste 112
Garden Grove, CA 92843
Phone (714) 636-9585

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1558771808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 S MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045116",
            "telephone_number": "714-757-4747",
            "fax_number": "714-636-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 S MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045116",
            "telephone_number": "714-757-4747",
            "fax_number": "714-948-5959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10872 Westminster Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928434981",
            "country_code": "US",
            "telephone_number": "714-636-9585",
            "fax_number": "714-636-2465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VANNA HOANG OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "VANNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-757-4747",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11892T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.