Provider Demographics
NPI:1316242704
Name:HUANG, WENDY (OD)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 106TH AVE NE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-8666
Mailing Address - Country:US
Mailing Address - Phone:425-451-7798
Mailing Address - Fax:425-451-7797
Practice Address - Street 1:1101 106TH AVE NE
Practice Address - Street 2:SUITE 10
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-8666
Practice Address - Country:US
Practice Address - Phone:425-451-7798
Practice Address - Fax:425-451-7797
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA3895TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist