Provider Demographics
NPI:1699061051
Name:HUANG, WILLIAM (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2734 MILSTEAD WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-4092
Mailing Address - Country:US
Mailing Address - Phone:626-616-8022
Mailing Address - Fax:
Practice Address - Street 1:10451 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-1987
Practice Address - Country:US
Practice Address - Phone:916-724-0083
Practice Address - Fax:916-771-9107
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-23
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14180152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist