Huynh Family Professional Optometry Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HUYNH FAMILY PROFESSIONAL OPTOMETRY CORP.

Practice address

1919 Davis St
San Leandro, CA 94577-1231

Phone

(510) 430-9903

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Trinh Ngoc Huynh, ODNPI 1124711361

Title

Officer

Phone

(510) 282-5420

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trinh Ngoc Huynh, OD

  • Optometrist
  • San Leandro, CA
  • NPI 1124711361
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1831967637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 5TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946062403",
            "telephone_number": "510-282-5420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 DAVIS ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771231",
            "telephone_number": "510-430-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUYNH FAMILY PROFESSIONAL OPTOMETRY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "TRINH",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "510-282-5420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Hurtado, PHI
• Shehlanoor A Huseni, M.D.
• Delia Husseini
• Marta M Husted, P.T.
• Helena Hutchins
• Angelina Phan Huynh
• Liem T Huynh, B.A.
• Tracy Huynh
• Trinh Ngoc Huynh, OD
• Vaughn Huynh

• Optometrist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.