Healthcare Provider Details

I. General information

NPI: 1306218904
Provider Name (Legal Business Name): CHEN & HUANG OPTOMETRY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2015
Last Update Date: 05/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1237 E IMPERIAL HWY
PLACENTIA CA
92870-1718
US

IV. Provider business mailing address

1237 E IMPERIAL HWY
PLACENTIA CA
92870-1718
US

V. Phone/Fax

Practice location:
  • Phone: 714-983-7088
  • Fax: 714-983-7263
Mailing address:
  • Phone: 714-983-7088
  • Fax: 714-983-7263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. LING HUANG
Title or Position: OWNER/PRESIDENT
Credential: O.D.
Phone: 714-380-2205