Healthcare Provider Details

I. General information

NPI: 1740611680
Provider Name (Legal Business Name): HD EYECARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2013
Last Update Date: 04/25/2023
Certification Date: 04/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 NEIGHBORHOOD MARKET RD STE 105
ORLANDO FL
32825-3525
US

IV. Provider business mailing address

222 NEIGHBORHOOD MARKET RD STE 105
ORLANDO FL
32825-3525
US

V. Phone/Fax

Practice location:
  • Phone: 407-930-5566
  • Fax: 321-549-6242
Mailing address:
  • Phone: 407-930-5566
  • Fax: 321-549-6242

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4783
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number4783
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number4783
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number4783
License Number StateFL

VIII. Authorized Official

Name: DR. ANTHONY HUYNH
Title or Position: CHIEF OPERATING OFFICER
Credential: OD, FAAO
Phone: 407-930-5566