MEDICARE: DR. AMY HSING-I HO O.D.

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	006840	NY

General Provider Information

NPI Number	:	1447393400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY HSING-I HO O.D.

Provider Business Mailing Address
First Line	:	1129 BLAKE CT
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-5218
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1849 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3108
Country	:	US
Telephone Number	:	718-621-1624
Fax Number	:

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

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	07/16/2008

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