MEDICARE: SNOW HU

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	152W00000X	Optometrist	35148TLG	CA

General Provider Information

NPI Number	:	1689244006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SNOW HU

Provider Business Mailing Address
First Line	:	2447 22ND AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-2436
Country	:	US
Telephone Number	:	415-730-6936
Fax Number	:

Provider Business Practice Location Address
First Line	:	4390 MISSION ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-1543
Country	:	US
Telephone Number	:	415-585-4966
Fax Number	:	415-585-4336

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

Provider Enumeration Date	:	06/28/2021
Last Update Date	:	11/22/2024

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Directions to “ SNOW HU ” Practice Location

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