Individual provider Active NPI

Carmen Huang, OD

  • Optometrist
  • Burlington, MA
National Provider Identifier
1760050892
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5462 Issued in MA
Practice address
50 Burlington Mall Rd Ste 101
Burlington, MA 01803-4527
Phone
(781) 404-7992
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5462 MA Primary

Addresses

Primary practice location

50 Burlington Mall Rd Ste 101
Burlington, MA 01803-4527

Mailing address

50 Burlington Mall Rd Ste 101
Burlington, MA 01803-4527
Phone (626) 283-8106

Other practice location 1

400 5th Ave Ste 510
Waltham, MA 02451-8734
Phone (877) 852-2020

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1760050892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BURLINGTON MALL RD STE 101",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034527",
            "telephone_number": "626-283-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BURLINGTON MALL RD STE 101",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034527",
            "telephone_number": "781-404-7992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 5th Ave Ste 510",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024518734",
            "country_code": "US",
            "telephone_number": "877-852-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUANG",
        "first_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2023-12-28",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.