MEDICARE: STEVEN HUANG OD

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	390200000X	Student in an Organized Health Care Education/Training Program
2	152W00000X	Optometrist	27OA00698300	NJ

General Provider Information

NPI Number	:	1811509250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN HUANG OD

Provider Business Mailing Address
First Line	:	6 SAMARA CIR
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1081
Country	:	US
Telephone Number	:	609-442-7710
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 NEW RD
Second Line	:
City	:	LINWOOD
State	:	NJ
Zip	:	08221-1039
Country	:	US
Telephone Number	:	609-927-2020
Fax Number	:

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

Provider Enumeration Date	:	08/18/2020
Last Update Date	:	04/28/2021

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