Provider Demographics
NPI:1245480508
Name:KO, EN HUI (OD)
Entity type:Individual
Prefix:
First Name:EN HUI
Middle Name:
Last Name:KO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2159 OAKMONT DR
Mailing Address - Street 2:
Mailing Address - City:RIVIERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404-1832
Mailing Address - Country:US
Mailing Address - Phone:561-568-8274
Mailing Address - Fax:
Practice Address - Street 1:157 S STATE ROAD 7
Practice Address - Street 2:#104
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4384
Practice Address - Country:US
Practice Address - Phone:561-795-1286
Practice Address - Fax:561-795-1197
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4331152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOPC4331OtherLICENSE