Healthcare Provider Details

I. General information

NPI: 1710118658
Provider Name (Legal Business Name): MEI Z. HUANG O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS ZHEN MEI HUANG

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 02/11/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5080 FOOTHILLS BLVD STE. 2
ROSEVILLE CA
95747-6525
US

IV. Provider business mailing address

5080 FOOTHILLS BLVD STE. 2
ROSEVILLE CA
95747-6525
US

V. Phone/Fax

Practice location:
  • Phone: 916-784-6508
  • Fax: 916-784-8095
Mailing address:
  • Phone: 916-784-6508
  • Fax: 916-784-8095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number13718
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: