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NPI Code Detail

MEDICARE: ANDREA C. HUYN, OD, INC

MEDICARE: ANDREA C. HUYN, OD, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist

General Provider Information

NPI Number : 1285142166
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDREA C. HUYN, OD, INC
Provider Business Mailing Address
First Line : 88 PEONY
Second Line :
City : IRVINE
State : CA
Zip : 92618-1508
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 30602 SANTA MARGARITA PKWY
Second Line :
City : RANCHO SANTA MARGARITA
State : CA
Zip : 92688-2814
Country : US
Telephone Number : 949-207-5206
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST/CEO
Name : ANDREA HUYN
Credential : OD
Telephone Number : 310-806-2322
Provider Enumeration Date : 01/13/2018
Last Update Date : 02/22/2021

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