MEDICARE: DR. TONY H. HUYNH MD

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
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	MD60074859	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669590782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TONY H. HUYNH MD

Provider Business Mailing Address
First Line	:	22232 17TH AVE SE STE 308
Second Line	:
City	:	BOTHELL
State	:	WA
Zip	:	98021-7425
Country	:	US
Telephone Number	:	206-215-3850
Fax Number	:	206-215-3870

Provider Business Practice Location Address
First Line	:	6100 219TH ST SW STE 280
Second Line	:
City	:	MOUNTLAKE TERRACE
State	:	WA
Zip	:	98043-2222
Country	:	US
Telephone Number	:	206-215-3850
Fax Number	:	206-215-3870

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/21/2023

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