Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073293403 Individual Practitioner Male Practitioner

Kha Phan Duong

Optometrist • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Kha Duong is a registered healthcare professional specializing in Optometrist in Melbourne, FL. Practice services are available at 278 N WICKHAM RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

278 N Wickham Rd

Melbourne, FL 329358625

Telephone 3212539228
Associated Practice Facility / Clinic
🏢 Kha Duong Od Pa Facility NPI 1295040202

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Melbourne, FL (3724 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-28
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License FL 009864

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi
1295040202

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1356354682

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address January 29, 2026

Registered at 278 N WICKHAM RD, MELBOURNE, FL 329358625 (Tel: 3212539228)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2026

Optometrist (License #009864 in FL)

📍
Updated Practice Location May 06, 2025

Registered at 278 N WICKHAM RD, MELBOURNE, FL 329358625 (Tel: 3212539228)

NPI Profile Active July 20, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2023

Registered at 3409 ERIE BLVD E UNIT 200, DEWITT, NY 13214 (Tel: 3154464444)

📍
Updated Business Mailing Address July 20, 2023

Registered at 217-2 CHERRY ST, SYRACUSE, NY 13210 (Tel: 3218066466)

👤
Provider Name / Credentials Updated July 20, 2023

Recorded as KHA DUONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2023

Optometrist (License #009864 in NY)

🟢
Initial NPI Registration & Enumeration July 20, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073293403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2023
Last Update: April 28, 2026
Sole Proprietor: Yes

Mailing Address

278 N Wickham Rd

Melbourne, FL 329358625

Phone: 3212539228

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.