Miss Phuong Khanh Thi Ho, OD | |
1360 Burton Dr, #150, Vacaville, CA 95687-3557 | |
(707) 446-6500 | |
(707) 446-0154 |
Full Name | Miss Phuong Khanh Thi Ho |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1360 Burton Dr, Vacaville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033366752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT13682T (California) | Primary |
152W00000X | Optometrist | OEG002096 (Pennsylvania) | Secondary |
Provider Name | Permanente Medical Group Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Miss Phuong Khanh Thi Ho, OD 2138 Ramish Dr, San Jose, CA 95131-2841 Ph: (408) 646-8983 | Miss Phuong Khanh Thi Ho, OD 1360 Burton Dr, #150, Vacaville, CA 95687-3557 Ph: (707) 446-6500 |
Jeffrey Michael Gless, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2080 Harbison Dr Ste E, Vacaville, CA 95687 Phone: 707-449-9931 | |
Dr. William F Stahlberger, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Quality Dr, Vacaville, CA 95688 Phone: 707-624-2720 | |
Firstsight Vision Services,inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1501 Helen Power Dr, Vacaville, CA 95687 Phone: 707-451-0172 Fax: 707-451-3857 | |
Adolph William Meyer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2581 Nut Tree Rd Ste C, Vacaville, CA 95687 Phone: 707-447-1332 | |
Tia Leimomi-tomiko Horie, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2581 Nut Tree Rd Ste C, Vacaville, CA 95687 Phone: 707-447-1332 | |
Dr. Kathleen Joan Kopecko, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2581 Nut Tree Rd, Suite C, Vacaville, CA 95687 Phone: 707-447-1332 Fax: 707-447-4894 |