Provider Demographics
NPI:1124361050
Name:DO, ANH V (OD)
Entity Type:Individual
Prefix:DR
First Name:ANH
Middle Name:V
Last Name:DO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:222 NEIGHBORHOOD MARKET RD STE 105
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-3525
Mailing Address - Country:US
Mailing Address - Phone:407-930-5566
Mailing Address - Fax:321-549-6242
Practice Address - Street 1:222 NEIGHBORHOOD MARKET RD STE 105
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-3525
Practice Address - Country:US
Practice Address - Phone:407-930-5566
Practice Address - Fax:321-549-6242
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-28
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOPC4761152W00000X, 152WP0200X, 152WX0102X, 152WC0802X
TX8010T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHU318ZMedicare UPIN