Active NPI
Stanley Huey, O.D. & Tina H. Fong, O.D.
- Optometrist
- Fair Oaks, CA
National Provider Identifier
1669557096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- STANLEY HUEY, O.D. & TINA H. FONG, O.D.
- Practice address
- 12417 Fair Oaks Blvd
Suite 500
Fair Oaks, CA 95628-2501 - Phone
- (916) 722-4280
- Fax
- (916) 722-0148
- NPI assigned
- Oct 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tina Huey Fong, O.D.
- Title
- Optometrist/General Partner
- Phone
- (916) 722-4280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
12417 Fair Oaks Blvd
Suite 500
Fair Oaks, CA 95628-2501
Mailing address
12417 Fair Oaks Blvd.
Suite 500
Fair Oaks, CA 95628-2558
Phone (916) 722-4280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0052200 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
12417 Fair Oaks Blvd
Ste 5
Fair Oaks, CA 95628
Phone (916) 722-4280
12417 Fair Oaks Blvd
Ste 500
Fair Oaks, CA 95628
Phone (916) 722-4280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259712000000",
"number": "1669557096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12417 FAIR OAKS BLVD.",
"address_2": "SUITE 500",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956282558",
"telephone_number": "916-722-4280",
"fax_number": "916-722-0148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12417 FAIR OAKS BLVD",
"address_2": "SUITE 500",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956282501",
"telephone_number": "916-722-4280",
"fax_number": "916-722-0148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STANLEY HUEY, O.D. & TINA H. FONG, O.D.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2009-12-02",
"status": "A",
"authorized_official_last_name": "FONG",
"authorized_official_first_name": "TINA",
"authorized_official_middle_name": "HUEY",
"authorized_official_title_or_position": "OPTOMETRIST/GENERAL PARTNER",
"authorized_official_telephone_number": "916-722-4280",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0052200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.