Hollie Huynh OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12586T Issued in CA

Legal business name

HOLLIE HUYNH OD, INC

Doing business as

Eastgate Optometry Care

Practice address

11893 Valley View St
Garden Grove, CA 92845-1236

Phone

(714) 373-2020

Fax

(714) 373-2015

NPI assigned

Dec 16, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Hollie Huynh, OD

Title

Owner

Phone

(714) 373-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eastgate Optometry Care Doing business as

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1891024071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11893 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451236",
            "telephone_number": "714-373-2020",
            "fax_number": "714-373-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11893 VALLEY VIEW ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451236",
            "telephone_number": "714-373-2020",
            "fax_number": "714-373-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIE HUYNH OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "HUYNH",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-373-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12586T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891024071",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastgate Optometry Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; 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.