Individual provider Active NPI

Larry Cy Huey, O.D.

  • Optometrist
  • Elk Grove, CA
National Provider Identifier
1124154927
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA12023T Issued in CA
Practice address
9174 Franklin Blvd
Suite a
Elk Grove, CA 95758-5524
Phone
(916) 422-1066
Fax
(916) 422-1162
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA12023T CA 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000705 CA Practitioner - Optometry 1557341245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huey and Hsiao Optometric CorporationGroup PAC ID 2769462456, 2 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA12023TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Huey and Hsiao Optometric Corporation Optometrist CurrentSince Feb 7, 2003 Accepting new patients
Huey and Hsiao Optometric Corporation Optometrist CurrentSince Jul 1, 2004 Accepting new patients

Locations

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

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

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1124154927",
    "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": {
        "last_name": "HUEY",
        "first_name": "LARRY",
        "middle_name": "CY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA12023T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.