MEDICARE: DR. MEI Z. HUANG O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	13718	CA

General Provider Information

NPI Number	:	1710118658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MEI Z. HUANG O.D.

Provider Business Mailing Address
First Line	:	5080 FOOTHILLS BLVD
Second Line	:	STE. 2
City	:	ROSEVILLE
State	:	CA
Zip	:	95747-6525
Country	:	US
Telephone Number	:	916-784-6508
Fax Number	:	916-784-8095

Provider Business Practice Location Address
First Line	:	5080 FOOTHILLS BLVD
Second Line	:	STE. 2
City	:	ROSEVILLE
State	:	CA
Zip	:	95747-6525
Country	:	US
Telephone Number	:	916-784-6508
Fax Number	:	916-784-8095

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	02/11/2022

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