NPI Code Details Logo

NPI 1275429581

NPI 1275429581 : JOSHUA HUYNH OD : QUEEN CREEK, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1275429581
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    JOSHUA HUYNH OD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/13/2025
-----------------------------------------------------
    Last Update Date     |    01/20/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    24921 S ELLSWORTH RD STE 140 
-----------------------------------------------------
    City                 |    QUEEN CREEK
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85142-1579
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-564-2682
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    24921 S ELLSWORTH RD STE 140 
-----------------------------------------------------
    City                 |    QUEEN CREEK
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85142-1579
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    480-564-2682
-----------------------------------------------------
    Fax                  |    480-564-2683
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    OPT-002887
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.