Cuong Ngoc Huynh, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OL028 Issued in GU

Practice address

761 S Marine Corps Dr
2020 Vision Center Cen Tam BLDG Ste A1
Tamuning, GU 96913

Phone

(671) 646-3001

Fax

(671) 649-3001

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265557490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 S MARINE CORPS DR",
            "address_2": "2020 VISION CENTER CEN TAM BLDG STE A1",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-3001",
            "fax_number": "671-649-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 S MARINE CORPS DR",
            "address_2": "2020 VISION CENTER CEN TAM BLDG STE A1",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-646-3001",
            "fax_number": "671-649-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "CUONG",
        "middle_name": "NGOC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GU",
            "license": "OL028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Sibug Honculada
• David D.Y. Hong, P.A.
• Rai Bok Hong, M.D.
• Keith M Horinouchi, M.N.T.
• Hunterspeaks Organization
• Barbara Ann Idechiil, RN
• Img P.C. (Img)
• Yoichi Inaba, M.D.
• Shimi Velasquez Inciong, RD, LD, CDM, CFPP
• Intercapital Inc. (Omnihealth Home Health)

• Optometrist in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Optometrist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.