Active NPI
Cynthia Barbara Huang
- Optometrist
- Pleasanton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT34979-TLG
- Practice address
- 5575 W Las Positas Blvd Ste 240
Pleasanton, CA 94588-5803 - Phone
- (925) 460-5000
- NPI assigned
- Apr 6, 2021
- Last updated
- Apr 1, 2024
- 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 | OPT34979-TLG | CA | Primary |
Addresses
Primary practice location
5575 W Las Positas Blvd Ste 240
Pleasanton, CA 94588-5803
Mailing address
5575 W Las Positas Blvd Ste 240
Pleasanton, CA 94588-5803
Phone (925) 460-5000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5330 Camden Ave
San Jose, CA 95124-5828
Phone (408) 940-3930
5575 W Las Positas Blvd
Suite 240
Pleasanton, CA 94588-5803
Phone (925) 460-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT34979-TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gagnon Vision Medical Group Inc | Optometrist | Current | Accepting new patients |
| Gagnon Vision Medical Group Inc | Optometrist | Current | Accepting new patients |
Locations
28 Fenton St
Livermore, CA 94550
Phone (925) 449-4000
5575 W Las Positas Blvd
Ste 240
Pleasanton, CA 94588
Phone (925) 460-5000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- chuang@vecma.intellechartdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711929600000",
"number": "1407435373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5575 W LAS POSITAS BLVD STE 240",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885803",
"telephone_number": "925-460-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5575 W LAS POSITAS BLVD STE 240",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945885803",
"telephone_number": "925-460-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "CYNTHIA",
"middle_name": "BARBARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT34979-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.