Jennifer Thy Le Huynh

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61091988 Issued in WA

Practice address

19400 108TH Ave SE Ste 202
Kent, WA 98031-0108

Phone

(253) 852-2120

NPI assigned

Oct 8, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Huntington Optometric CenterGroup PAC ID 7911237375, 6 clinicians

Glendale Optometric CenterGroup PAC ID 2365532561, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Glendale Optometric Center

  • Optometrist
  • Glendale, CA
  • NPI 1801093653
  Medicare reassignment Care Compare group NPD
• Huntington Optometric Center

  • Optometrist
  • Alhambra, CA
  • NPI 1902452188
  Medicare reassignment Care Compare group NPD
• Clear Sight Northwest, PS

  • Optometrist
  • Kent, WA
  • NPI 1740558642
  NPD
• Duane Decroupet OD a PC

  • Optometrist
  • Glendale, CA
  • NPI 1730258476
  NPD (past)

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1881291185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10421 JOAN DR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403010",
            "telephone_number": "714-234-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19400 108TH AVE SE STE 202",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980310108",
            "telephone_number": "253-852-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "JENNIFER",
        "middle_name": "THY LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61091988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadaf Hussain, MD
• Tasnim Hussein, M.D.
• Abubeker Hussien
• Daniel D Huynh
• Hali Ngochieu Huynh, PHARMD
• Kristy Huynh
• Chung-Long Hwang, D.D.S., P.S.
• Thomas Hwang
• Mustapha I Hydara, ARNP
• Jeremy Edward Hyde, L.M.P.

• Optometrist in Kent, WA
• Providers in Kent, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.