Provider Demographics
NPI:1427498047
Name:HUYNH, VANLANG Q (OD)
Entity type:Individual
Prefix:DR
First Name:VANLANG
Middle Name:Q
Last Name:HUYNH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:VAN LANG
Other - Middle Name:QUANG
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:11416 E PINE MEADOW CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-7202
Mailing Address - Country:US
Mailing Address - Phone:316-247-2020
Mailing Address - Fax:
Practice Address - Street 1:7700 E KELLOGG DR STE 703A
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-1787
Practice Address - Country:US
Practice Address - Phone:316-440-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1965152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist