Individual provider Active NPI

Michelle Duong Cho, OD

  • Optometrist
  • Orange, CA
National Provider Identifier
1699292656
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33801TLG Issued in CA
Practice address
141 N Glassell St
Orange, CA 92866-1406
Phone
(657) 223-3140
NPI assigned
Aug 29, 2017
Last updated
Oct 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33801TLG CA Primary

Addresses

Primary practice location

141 N Glassell St
Orange, CA 92866-1406

Mailing address

2581 Arvia St Unit 28
Los Angeles, CA 90065-3177
Phone (657) 223-3140

Other practice location 1

13540 W Camino Del Sol Ste 17
Sun City West, AZ 85375-4472
Phone (603) 544-3877

Other practice location 2

10940 Santa Monica Blvd
Los Angeles, CA 90025
Phone (310) 966-5030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180731003472 CA Practitioner - Optometry 6305104241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hello Optometry IncGroup PAC ID 4789080839, 2 clinicians

Practice addresses (Care Compare)

141 N Glassell St
Orange, CA 92866-1406
Phone (657) 650-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33801TLGCAMDOptometrist
2216AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hello Optometry, Inc. Optometrist CurrentSince May 8, 2021 Accepting new patients
Dr C Optometry Optometrist Past Accepting new patients

Locations

141 N Glassell St
Orange, CA 92866
Phone (657) 223-3140

Organizations & group practices 2

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1699292656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 ARVIA ST UNIT 28",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900653177",
            "telephone_number": "657-223-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N GLASSELL ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928661406",
            "telephone_number": "657-223-3140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13540 W Camino Del Sol Ste 17",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853754472",
            "country_code": "US",
            "telephone_number": "603-544-3877",
            "fax_number": "603-544-3877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10940 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90025",
            "country_code": "US",
            "telephone_number": "310-966-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "MICHELLE",
        "middle_name": "DUONG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33801TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.