Individual provider Active NPI

Andrea Huyn, O.D.

  • Optometrist
  • Rancho Santa Margarita, CA
National Provider Identifier
1649410317
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT13569TPA Issued in CA
Practice address
30602 Santa Margarita Pkwy
Rancho Santa Margarita, CA 92688-2814
Phone
(949) 459-1670
Fax
(949) 459-1830
NPI assigned
Feb 20, 2009
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT13569TPA CA Primary

Addresses

Primary practice location

30602 Santa Margarita Pkwy
Rancho Santa Margarita, CA 92688-2814

Mailing address

88 Peony
Irvine, CA 92618-1508
Phone (310) 803-2322

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
I20090319000225 CA Practitioner - Optometry 8921165978 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT13569TPACAMDOptometrist
13569CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greta Torossian, Optometric Corp. Optometrist CurrentSince Jul 8, 2010 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
The Pilates PT Physical Therapy Inc PastSince May 22, 2017 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

7509 Laurel Ave
Fontana, CA 92336
Phone (805) 485-3338

1049 Foothill Blvd
La Canada, CA 91011
Phone (818) 550-0411

1057 Foothill Blvd
La Canada Flintridge, CA 91011
Phone (818) 550-0411

Organizations & group practices 5

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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1649410317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PEONY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926181508",
            "telephone_number": "310-803-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30602 SANTA MARGARITA PKWY",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882814",
            "telephone_number": "949-459-1670",
            "fax_number": "949-459-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYN",
        "first_name": "ANDREA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13569TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Santa Margarita, CA

Sources for this page

Verify at the official NPI Registry.