Organization Active NPI

Huey and Hsiao Optometric Corporation

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1104952217
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HUEY AND HSIAO OPTOMETRIC CORPORATION
Practice address
9174 Franklin Blvd
Suite a
Elk Grove, CA 95758-5524
Phone
(916) 422-1066
Fax
(916) 422-1162
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Larry Huey, O.D.NPI 1124154927
Title
Optometrist
Phone
(916) 422-1066

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

9174 Franklin Blvd
Suite a
Elk Grove, CA 95758-5524

Mailing address

9174 Franklin Blvd
Suite a
Elk Grove, CA 95758-5524
Phone (916) 422-1066

Other names 1

  • Laguna Family Eyecare Optometry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722001186 CA Part B Supplier - Clinic/Group Practice 2769462456 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Elk Grove, CA; Fairfield, CA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Airbase Optometry3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9174 Franklin Blvd
Ste A
Elk Grove, CA 95758
Phone (916) 422-1066

4711 Laguna Blvd
Ste 104
Elk Grove, CA 95758
Phone (916) 422-1066

301 Dickson Hill Rd
Ste B
Fairfield, CA 94533
Phone (707) 437-9600

461 Skymaster Cir
#650
Travis AFB, CA 94535
Phone (707) 437-4095

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": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1104952217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9174 FRANKLIN BLVD",
            "address_2": "SUITE A",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585524",
            "telephone_number": "916-422-1066",
            "fax_number": "916-422-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9174 FRANKLIN BLVD",
            "address_2": "SUITE A",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585524",
            "telephone_number": "916-422-1066",
            "fax_number": "916-422-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUEY AND HSIAO OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "HUEY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "916-422-1066",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Family Eyecare Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.