Active NPI
Judy Chien Wei Lai Huang, O.D.
- Optometrist
- Cerritos, CA
National Provider Identifier
1164576039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 12155 TPA
- Practice address
- 11525 E South St
Target Optical
Cerritos, CA 90703 - Phone
- (562) 924-7600
- Fax
- (562) 274-0068
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- 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 | OPT 12155 TPA | CA | Primary |
Addresses
Primary practice location
11525 E South St
Target Optical
Cerritos, CA 90703
Mailing address
11525 E South St
Target Optical
Cerritos, CA 90703
Phone (562) 924-7600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 12155 TPA | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1164576039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11525 E SOUTH ST",
"address_2": "TARGET OPTICAL",
"city": "CERRITOS",
"state": "CA",
"postal_code": "90703",
"telephone_number": "562-924-7600",
"fax_number": "562-274-0068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11525 E SOUTH ST",
"address_2": "TARGET OPTICAL",
"city": "CERRITOS",
"state": "CA",
"postal_code": "90703",
"telephone_number": "562-924-7600",
"fax_number": "562-274-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "JUDY",
"middle_name": "CHIEN WEI LAI",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 12155 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.