Individual provider Active NPI

CHI Huynh, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1922187426
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12901 TPL Issued in CA
Practice address
9225 Mira Mesa Blvd Ste 108
San Diego, CA 92126-4810
Phone
(858) 547-3988
Fax
(844) 367-5161
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 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 12901 TPL CA Primary

Addresses

Primary practice location

9225 Mira Mesa Blvd Ste 108
San Diego, CA 92126-4810

Mailing address

9225 Mira Mesa Blvd Ste 108
San Diego, CA 92126-4810
Phone (858) 547-3988

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
I20051202000363 CA Practitioner - Optometry 5294755492 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12901 TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
CHI T Huynh OD Inc Optometrist CurrentSince Jun 28, 2016 Accepting new patients

Locations

9225 Mira Mesa Blvd
Ste 108
San Diego, CA 92126
Phone (858) 547-3988

Organizations & group practices 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1922187426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 MIRA MESA BLVD STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264810",
            "telephone_number": "858-547-3988",
            "fax_number": "844-367-5161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 MIRA MESA BLVD STE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264810",
            "telephone_number": "858-547-3988",
            "fax_number": "844-367-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "CHI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12901 TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.