Provider Demographics
NPI:1497031660
Name:HUYNH, ANH-THY N (MS, OD)
Entity Type:Individual
Prefix:
First Name:ANH-THY
Middle Name:N
Last Name:HUYNH
Suffix:
Gender:F
Credentials:MS, OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 LEXANN AVE
Mailing Address - Street 2:SUITE 124
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1794
Mailing Address - Country:US
Mailing Address - Phone:408-440-4556
Mailing Address - Fax:408-440-4558
Practice Address - Street 1:1569 LEXANN AVE STE 124
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1794
Practice Address - Country:US
Practice Address - Phone:408-440-4556
Practice Address - Fax:408-440-4558
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14327 TLG152W00000X
AZ002541152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty