MEDICARE: ANNIE H KU OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC6251	FL
2	152W00000X	Optometrist	10942T	TX
3	152WP0200X	Pediatric Optometrist	0618003399	VA

General Provider Information

NPI Number	:	1134817158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNIE H KU OD

Provider Business Mailing Address
First Line	:	4665 SOUTH BLVD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1055
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4665 SOUTH BLVD
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-1055
Country	:	US
Telephone Number	:	813-972-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2023
Last Update Date	:	07/31/2024

Similar Medicare Providers

1376632075 — EARL RUSSELL CROUCH III MD
Practice Location Address:

4665 SOUTH BLVD
VIRGINIA BEACH, VA
23452-1055

Practice Phone: 757-461-0050
Practice Fax: 757-461-4538

1346392248 — EARL R CROUCH JR MD FACS PC
Practice Location Address:

4665 SOUTH BLVD
VIRGINIA BEACH, VA
23452-1055

Practice Phone: 757-461-0050
Practice Fax: 757-461-4538

1699968966 — DR. STACY MARTINSON O.D.
Practice Location Address:

4665 SOUTH BLVD
VIRGINIA BEACH, VA
23452-1055

Practice Phone: 757-461-0050
Practice Fax:

1659720589 — MRS. LAURA BAGDONAITE BEJARANO M.D.
Practice Location Address:

4665 SOUTH BLVD
VIRGINIA BEACH, VA
23452-1055

Practice Phone: 757-461-0050
Practice Fax:

1568579399 — SCOTT H ROSENBLUM DDS
Practice Location Address:

1055 KEMPSVILLE RD
VIRGINIA BEACH, VA
23464-5501

Practice Phone: 757-474-1200
Practice Fax: 757-474-9392

1669589313 — DR. JOHN I BARNEY DDS
Practice Location Address:

1055 KEMPSVILLE RD
VIRGINIA BEACH, VA
23464-5501

Practice Phone: 757-474-1200
Practice Fax: 757-474-9392

Directions to “ ANNIE H KU OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.