Provider Demographics
NPI:1073611885
Name:HUYNH, ANTHONY ANH (OD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ANH
Last Name:HUYNH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 S. DISNEYLAND DRIVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802-1828
Mailing Address - Country:US
Mailing Address - Phone:714-821-4666
Mailing Address - Fax:714-533-6800
Practice Address - Street 1:7677 CENTER AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-3074
Practice Address - Country:US
Practice Address - Phone:714-901-2007
Practice Address - Fax:714-901-2003
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11426152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACH005XMedicare PIN
CACH005VMedicare PIN