Phung Minh Ho, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4991 Issued in FL

Practice address

875 Clark St Ste a
Oviedo, FL 32765-2900

Phone

(407) 366-7655

Fax

(407) 366-4129

NPI assigned

Sep 8, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

International American University at Puerto Rico - School of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oviedo Vision Center PAGroup PAC ID 7113993932, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Oviedo Vision Center PA

  • Optometrist
  • Oviedo, FL
  • NPI 1982792073
  Medicare reassignment Care Compare group NPD Authorized official
• Joemie Vision Care Inc

  • Optometrist
  • Orlando, FL
  • NPI 1750821765
  Medicare reassignment
• Lake Nona Vision Inc

  • Optometrist
  • Orlando, FL
  • NPI 1477099877
  NPD (past) Authorized official

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1891196903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 CLARK ST STE A",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327652900",
            "telephone_number": "407-366-7655",
            "fax_number": "407-366-4129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 CLARK ST STE A",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327652900",
            "telephone_number": "407-366-7655",
            "fax_number": "407-366-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "PHUNG",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-08",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4991",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014476800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Hill, NP
• Kiah Nadijah Hill, MD
• Judy Lynn Hines, D.O.
• Hira Healthcare LLC
• Beixia Ho, PHARMD
• Sean P Hobbs, M.P.T, A.T.,C
• Robby Hoffmann
• Holiday CVS LLC
• Holiday CVS LLC
• Aubrey S Holt, EDS,MCD/CCC-SLP

• Optometrist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.