Individual provider Active NPI

Michael Huang, O.D.

  • Optometrist
  • San Bernardino, CA
National Provider Identifier
1346226123
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12699T Issued in CA
Practice address
2150 N Waterman Ave
Suite 201
San Bernardino, CA 92404-4811
Phone
(909) 881-2020
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12699T CA Primary

Addresses

Primary practice location

2150 N Waterman Ave
Suite 201
San Bernardino, CA 92404-4811

Mailing address

2150 N Waterman Ave
#201
San Bernardino, CA 92404-4811
Phone (909) 881-2020

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
I20041207000691 CA Practitioner - Optometry 9638135064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2150 N Waterman Ave
Suite 201
San Bernardino, CA 92404-4811
Phone (909) 881-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12699TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Friedman OD a Professional Optometric Corporation Optometrist CurrentSince Aug 23, 2004 Accepting new patients
Arthur Friedman OD Apoc Optometrist Past Accepting new patients

Locations

7890 Haven Ave
Ste 17
Rch Cucamonga, CA 91730
Phone (909) 987-3330

10837 Laurel St
Ste 202
Rch Cucamonga, CA 91730
Phone (909) 945-2425

2150 N Waterman Ave
Ste 201
Sn Bernrdno, CA 92404
Phone (909) 717-9636

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1346226123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N WATERMAN AVE",
            "address_2": "#201",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044811",
            "telephone_number": "909-881-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N WATERMAN AVE",
            "address_2": "SUITE 201",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044811",
            "telephone_number": "909-881-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12699T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.