Individual provider Active NPI

William Huang, OD

  • Optometrist
  • Roseville, CA
National Provider Identifier
1699061051
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14180 Issued in CA
Practice address
10451 Fairway Dr
Roseville, CA 95678-1987
Phone
(916) 724-0083
Fax
(916) 771-9107
NPI assigned
Jun 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14180 CA Primary

Addresses

Primary practice location

10451 Fairway Dr
Roseville, CA 95678-1987

Mailing address

2734 Milstead Way
Roseville, CA 95661-4092
Phone (626) 616-8022

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
I20110920000182 CA Practitioner - Optometry 0244401420 Practice locations: El Dorado Hills, CA; Modesto, CA; Roseville, CA; Stockton, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4364 Town Ctr Blvd
Suite 118
El Dorado Hills, CA 95762-7181
Phone (916) 292-9226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luxottica of America Inc Past Accepting new patients
Luxottica Retail North America Inc Past Accepting new patients
Dr Niam Phan OD an Optometry Corporation Optometrist PastSince Jul 1, 2017 Accepting new patients

Organizations & group practices 3

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": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1699061051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 MILSTEAD WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614092",
            "telephone_number": "626-616-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 FAIRWAY DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781987",
            "telephone_number": "916-724-0083",
            "fax_number": "916-771-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-23",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.