Active NPI
Michael A Huang, OD,MS
- Low Vision Rehabilitation Optometrist
- San Diego, CA
National Provider Identifier
1548210883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Rehabilitation Optometrist
- License
- 11658T
- Practice address
- 8810 Rio San Diego Dr
112GZ
San Diego, CA 92108-1622 - Phone
- (619) 400-5260
- Fax
- (619) 400-5263
- NPI assigned
- May 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Low Vision Rehabilitation Optometrist | 152WL0500X | 11658T | CA | Primary |
Addresses
Primary practice location
8810 Rio San Diego Dr
112GZ
San Diego, CA 92108-1622
Mailing address
8810 Rio San Diego Dr
112GZ
San Diego, CA 92108-1622
Phone (619) 400-5260
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11658T | CA | MD | Low Vision Rehabilitation Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1548210883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8810 RIO SAN DIEGO DR",
"address_2": "112GZ",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081622",
"telephone_number": "619-400-5260",
"fax_number": "619-400-5263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8810 RIO SAN DIEGO DR",
"address_2": "112GZ",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081622",
"telephone_number": "619-400-5260",
"fax_number": "619-400-5263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUANG",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD,MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "11658T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.