Individual provider Active NPI

Hue Kim Ho, O.D.

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1710237417
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4745 Issued in FL
Practice address
151 SW 184TH Ave
Pembroke Pines, FL 33029-5465
Phone
(954) 437-8777
NPI assigned
Sep 11, 2012
Last updated
May 8, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4745 FL Primary

Addresses

Primary practice location

151 SW 184TH Ave
Pembroke Pines, FL 33029-5465

Mailing address

151 SW 184TH Ave
Pembroke Pines, FL 33029-5465
Phone (954) 437-8777

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
I20121214000317 FL Practitioner - Optometry 0941452197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 SW 184TH Ave
Pembroke Pines, FL 33029-5465
Phone (954) 437-8777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4745FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Vision Care LLC Optometrist CurrentSince Jun 6, 2017 Accepting new patients

Locations

151 SW 184th Ave
Pembroke Pines, FL 33029
Phone (954) 437-8777

Organizations & group practices 1

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1710237417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SW 184TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295465",
            "telephone_number": "954-437-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SW 184TH AVE",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330295465",
            "telephone_number": "954-437-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "HUE",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.