Healthcare Provider Details

I. General information

NPI: 1407886427
Provider Name (Legal Business Name): EYE CARE WEST OPTOMETRY OC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 11/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26750 TOWNE CENTRE DR SUITE E
FOOTHILL RANCH CA
92610-2841
US

IV. Provider business mailing address

26750 TOWNE CENTRE DR SUITE E
FOOTHILL RANCH CA
92610-2841
US

V. Phone/Fax

Practice location:
  • Phone: 949-215-0505
  • Fax: 949-273-5029
Mailing address:
  • Phone: 949-215-0505
  • Fax: 949-273-5029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANTHONY JOSEPH HUANG
Title or Position: PRESIDENT
Credential: O.D.
Phone: 949-215-0505