=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306012562
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MINDY NGO HUYNH, O.D. & ASSOCIATES, PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/07/2008
-----------------------------------------------------
Last Update Date | 09/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4530 W BUCKINGHAM RD SUITE 100
-----------------------------------------------------
City | GARLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75042-4514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-479-9797
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4530 W BUCKINGHAM RD SUITE 100
-----------------------------------------------------
City | GARLAND
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75042-4514
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 972-479-9797
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. MINDY HUYNH
-----------------------------------------------------
Credential | O.D.
-----------------------------------------------------
Telephone | 972-479-9797
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152WC0802X
-----------------------------------------------------
Taxonomy Name | Corneal and Contact Management Optometrist
-----------------------------------------------------
License Number | 5536TG
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 5536TG
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------