Active NPI
Hai Huynh, OD
- Optometrist
- San Jose, CA
National Provider Identifier
1467875690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14886 TLG
- Practice address
- 5450 Thornwood Dr.
Ste. a
San Jose, CA 95123 - Phone
- (408) 281-8220
- Fax
- (408) 281-2867
- NPI assigned
- Jan 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 14886 TLG | CA | Primary |
Addresses
Primary practice location
5450 Thornwood Dr.
Ste. a
San Jose, CA 95123
Mailing address
2343 New Jersey Ave
San Jose, CA 95124
Phone (408) 281-8220
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 787 | NV | MD | Marriage & Family Therapist |
| 14886 TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Glasses, Inc. | Past | Accepting new patients |
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.
-
- Optician
- San Jose, CA
- NPI 1063569788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480291200000",
"number": "1467875690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2343 NEW JERSEY AVE",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95124",
"telephone_number": "408-281-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 THORNWOOD DR.",
"address_2": "STE. A",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95123",
"telephone_number": "408-281-8220",
"fax_number": "408-281-2867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "HAI",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-23",
"last_updated": "2016-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14886 TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.