Individual provider Active NPI

Crystal S Woo, OD

  • Optometrist
  • Huntington Beach, CA
National Provider Identifier
1083277396
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34333TLG Issued in CA
Practice address
10011 Adams Ave
Huntington Beach, CA 92646-4904
Phone
(714) 963-8391
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I5-0000001 DE
Optometrist 152W00000X 34333TLG CA Primary
Optometrist 152W00000X 2858 NC
Optometrist 152W00000X OEG004217 PA
Optometrist 152W00000X OP2000550 DC
Optometrist 152W00000X 3932 TN
Optometrist 152W00000X OPT.007207 OH

Addresses

Primary practice location

10011 Adams Ave
Huntington Beach, CA 92646-4904

Mailing address

5762 Lincoln Ave #279
Cypress, CA 90630

Other practice location 1

215 Lauchwood Dr Ste A
Laurinburg, NC 28352-4647
Phone (910) 276-1993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20260429002715 NC Practitioner - Optometry 7618309600 Reassigns benefits to 1 organization
I20260507002187 OH Practitioner - Optometry 7618309600 Reassigns benefits to 1 organization
I20260619000634 PA Practitioner - Optometry 7618309600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of North Carolina PLLCGroup PAC ID 6608019096, 167 clinicians

Practice addresses (Care Compare)

1007 W Vernon Ave
Kinston, NC 28501-3613
Phone (252) 523-2020

1031 Grandiflora Dr
Leland, NC 28451-7453
Phone (910) 371-0540

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

201 Racine Dr
Wilmington, NC 28403-8702
Phone (910) 395-6050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2858NCMDAddiction (Substance Use Disorder) Counselor
34333TLGCAMDOptometrist
OP2000550DCMDOptometrist
I5-0000001DEMDOptometrist
OPT.007207OHMDOptometrist
OEG004217PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chin & Woo, Optometric Corporation Optometrist CurrentSince Mar 16, 2021 Accepting new patients

Locations

5762 Lincoln Ave
Unit 279
Cypress, CA 90630
Phone (626) 823-7132

10011 Adams Ave
Huntington Beach, CA 92646
Phone (714) 845-2002

10011 Adams Ave
Unit 279
Huntington Beach, CA 92646
Phone (714) 519-5743

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1083277396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5762 LINCOLN AVE #279",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464904",
            "telephone_number": "714-963-8391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Lauchwood Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283524647",
            "country_code": "US",
            "telephone_number": "910-276-1993",
            "fax_number": "910-462-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOO",
        "first_name": "CRYSTAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I5-0000001",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34333TLG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2858",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004217",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP2000550",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3932",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.