Provider Demographics
NPI:1427693621
Name:HUYNH VISION SERVICES INC PC
Entity type:Organization
Organization Name:HUYNH VISION SERVICES INC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TAI
Authorized Official - Middle Name:ANH
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:817-923-3653
Mailing Address - Street 1:1405 W BERRY ST
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76110-3814
Mailing Address - Country:US
Mailing Address - Phone:817-923-3653
Mailing Address - Fax:817-921-9599
Practice Address - Street 1:1405 W BERRY ST
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76110-3814
Practice Address - Country:US
Practice Address - Phone:817-923-3653
Practice Address - Fax:817-921-9599
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HUYNH VISION SERVICES INC PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-12
Last Update Date:2019-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty