Provider Demographics
NPI:1457630485
Name:POCHI HUANG O.D. INC.
Entity Type:Organization
Organization Name:POCHI HUANG O.D. INC.
Other - Org Name:CYPRESS POINTE OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:POCHI
Authorized Official - Middle Name:
Authorized Official - Last Name:HUANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-878-6551
Mailing Address - Street 1:1520 BARONET PL
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92833-1501
Mailing Address - Country:US
Mailing Address - Phone:714-773-4713
Mailing Address - Fax:714-773-4713
Practice Address - Street 1:10515 VALLEY VIEW ST
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-4832
Practice Address - Country:US
Practice Address - Phone:714-827-2020
Practice Address - Fax:714-827-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13307T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA13307TOtherCALIFORNIA STATE BOARD OF OPTOMETRY
CA1386892735OtherINDIVIDUAL NPI