Active NPI
Samuel Huang, PHD
- Ophthalmology Physician
- Okc, OK
National Provider Identifier
1205508439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 41439
- Practice address
- 608 Stanton L Young Blvd
Dmei 509
Okc, OK 73104 - Phone
- (405) 271-7816
- NPI assigned
- Oct 5, 2021
- Last updated
- Jun 2, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 41439 | OK | Primary |
Addresses
Primary practice location
608 Stanton L Young Blvd
Dmei 509
Okc, OK 73104
Mailing address
608 Stanton L Young Blvd
Dmei 509
Okc, OK 73104
Phone (405) 271-7816
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41439 | OK | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1205508439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 STANTON L YOUNG BLVD",
"address_2": "DMEI 509",
"city": "OKC",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-271-7816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 STANTON L YOUNG BLVD",
"address_2": "DMEI 509",
"city": "OKC",
"state": "OK",
"postal_code": "73104",
"telephone_number": "405-271-7816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "SAMUEL",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-05",
"last_updated": "2023-06-02",
"certification_date": "2023-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OK",
"license": "41439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Okc, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.