Individual provider Active NPI

Henry Hua, O.D.

  • Optometrist
  • San Jose, CA
National Provider Identifier
1427537679
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33989-TLG Issued in CA
Practice address
5301 Almaden Expy
San Jose, CA 95118-3603
Phone
(415) 819-8716
NPI assigned
Aug 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33989-TLG CA Primary

Addresses

Primary practice location

5301 Almaden Expy
San Jose, CA 95118-3603

Mailing address

294 Lobos St
San Francisco, CA 94112-2911

Other practice location 1

300 Vintage Way
Novato, CA 94945-5007
Phone (415) 819-8716

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
I20231218001146 CA Practitioner - Optometry 1557710480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT33989-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Hua O D Inc CurrentSince Feb 25, 2024 Accepting new patients

Locations

300 Vintage Way
Novato, CA 94945
Phone (415) 819-8716

Organizations & group practices 1

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": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1427537679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 LOBOS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 ALMADEN EXPY",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183603",
            "telephone_number": "415-819-8716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Vintage Way",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455007",
            "country_code": "US",
            "telephone_number": "415-819-8716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUA",
        "first_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-08",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33989-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.