Organization Active NPI

Peter D Huang, O.D. a Professional Corporation

  • Eyewear Supplier
  • Chula Vista, CA
National Provider Identifier
1063679421
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
CA11659T Issued in CA
Legal business name
PETER D HUANG, O.D. A PROFESSIONAL CORPORATION
Practice address
557 H St
Suite B
Chula Vista, CA 91910-4330
Phone
(619) 422-0139
Fax
(619) 422-0066
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Peter D Huang, O.D.NPI 1639100522
Title
President
Phone
(619) 422-0139

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X CA11659T CA Primary

Addresses

Primary practice location

557 H St
Suite B
Chula Vista, CA 91910-4330

Mailing address

557 H St
Suite B
Chula Vista, CA 91910-4330
Phone (619) 422-0139

Other names 1

  • H Street Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100916001090 CA Part B Supplier - Clinic/Group Practice 9537284328 Receives reassigned benefits from 2 practitioners
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

557 H St
#B
Chula Vista, CA 91910
Phone (619) 422-0139

557 H St
Ste B
Chula Vista, CA 91910
Phone (619) 422-0139

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581638400000",
    "number": "1063679421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 H ST",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104330",
            "telephone_number": "619-422-0139",
            "fax_number": "619-422-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 H ST",
            "address_2": "SUITE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104330",
            "telephone_number": "619-422-0139",
            "fax_number": "619-422-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER D HUANG, O.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A",
        "authorized_official_last_name": "HUANG",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-422-0139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "CA11659T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "H Street Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.