Khanh Ngo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002643 Issued in AZ

Practice address

13055 W Rancho Santa Fe Blvd
Avondale, AZ 85392-1700

Phone

(623) 535-4215

Fax

(623) 535-4234

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Khanh Ngo OD

  • Optometrist
  • Avondale, AZ
  • NPI 1063123248
  NPD Authorized official
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  Medicare reassignment

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1851432504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 W RANCHO SANTA FE BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921700",
            "telephone_number": "623-535-4215",
            "fax_number": "623-535-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 W RANCHO SANTA FE BLVD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921700",
            "telephone_number": "623-535-4215",
            "fax_number": "623-535-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "KHANH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009930",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Newman
• William Newman
• Newspring Pharmacy LLC (NewSpring Pharmacy)
• Nextcare Arizona LLC
• Andrew Mambo Ngigi
• Ethan D Nguyen, NP-C
• Lam Thanh Nguyen
• Lily Nguyen, PHARMD
• Nam-Rene Nguyen, DDS
• Olivia Thuy Nguyen, PA-C

• Optometrist in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.