Individual provider Active NPI

Tat-Wai Michael Ho, O.D.

  • Optometrist
  • Flushing, NY
National Provider Identifier
1861539264
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
005483 Issued in NY
Practice address
13620 38TH Ave Ste 7D
Flushing, NY 11354-4232
Phone
(718) 321-0355
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 005483 NY Primary

Addresses

Primary practice location

13620 38TH Ave Ste 7D
Flushing, NY 11354-4232

Mailing address

2 Bay Club Dr Apt 19G
Bayside, NY 11360-2932
Phone (718) 225-1074

Other practice location 1

3729 Main St
Flushing, NY 11354-4106
Phone (718) 461-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20170913000720 NY Practitioner - Optometry 4587802392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13620 38TH Ave
Suite 7D
Flushing, NY 11354-4232
Phone (718) 321-0355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ovation Eye Care Inc Optometrist CurrentSince Jun 7, 2017 Accepting new patients
MK Vision Center Optometrist PastSince Jun 3, 2025 Accepting new patients
Flushing Optical Inc Past Accepting new patients

Locations

13620 38th Ave
Ste 7D
Flushing, NY 11354
Phone (646) 279-3053

Organizations & group practices 3

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861539264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BAY CLUB DR APT 19G",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602932",
            "telephone_number": "718-225-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 38TH AVE STE 7D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544232",
            "telephone_number": "718-321-0355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3729 Main St",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113544106",
            "country_code": "US",
            "telephone_number": "718-461-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "TAT-WAI MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "005483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.