Active NPI
Tuan Kim Huynh, O.D.
- Optometrist
- Orange, CA
National Provider Identifier
1063561512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10336T
- Practice address
- 3131 N Glassell St
Orange, CA 92865-1007 - Phone
- (657) 281-2030
- Fax
- (657) 888-6880
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10336T | CA | Primary |
Addresses
Primary practice location
3131 N Glassell St
Orange, CA 92865-1007
Mailing address
3131 N Glassell St
Orange, CA 92865-1007
Phone (657) 281-2030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0103360 | Medicaid | CA |
Other names 1
- Dr. Tony Huynh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10336T | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1063561512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 N GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928651007",
"telephone_number": "657-281-2030",
"fax_number": "657-888-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 N GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928651007",
"telephone_number": "657-281-2030",
"fax_number": "657-888-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "TUAN",
"middle_name": "KIM",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10336T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0103360",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONY",
"last_name": "HUYNH",
"prefix": "DR.",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.