Provider Demographics
NPI:1306012562
Name:MINDY NGO HUYNH, O.D. & ASSOCIATES, PA
Entity type:Organization
Organization Name:MINDY NGO HUYNH, O.D. & ASSOCIATES, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-479-9797
Mailing Address - Street 1:4530 W BUCKINGHAM RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-4514
Mailing Address - Country:US
Mailing Address - Phone:972-479-9797
Mailing Address - Fax:
Practice Address - Street 1:4530 W BUCKINGHAM RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-4514
Practice Address - Country:US
Practice Address - Phone:972-479-9797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5536TG152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty