Provider Demographics
NPI:1336508381
Name:VICTOR Y. HO, O.D. A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:VICTOR Y. HO, O.D. A PROFESSIONAL CORPORATION
Other - Org Name:VICTOR Y. HO, O.D.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:YEP
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:209-272-7537
Mailing Address - Street 1:3031 W MARCH LN STE 211
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95219-6567
Mailing Address - Country:US
Mailing Address - Phone:209-272-7537
Mailing Address - Fax:209-272-7285
Practice Address - Street 1:3031 W MARCH LN STE 211
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95219-6567
Practice Address - Country:US
Practice Address - Phone:209-272-7537
Practice Address - Fax:209-272-7285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-18
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10589T152W00000X, 152WC0802X, 152WL0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3764736Medicaid
CAP00827285OtherRAILROAD MEDICARE
CAP00827285OtherRAILROAD MEDICARE
CAU63684Medicare UPIN