Healthcare Provider Details

I. General information

NPI: 1417443185
Provider Name (Legal Business Name): IRIS C HUANG OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2018
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10901 E MCDOWELL ROAD
SCOTTSDALE AZ
85256
US

IV. Provider business mailing address

10901 E MCDOWELL RD
SCOTTSDALE AZ
85256-5300
US

V. Phone/Fax

Practice location:
  • Phone: 480-278-7742
  • Fax:
Mailing address:
  • Phone: 480-278-7742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT-002619
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: