Provider Demographics
NPI:1609129501
Name:HUIMAOUNG INC
Entity Type:Organization
Organization Name:HUIMAOUNG INC
Other - Org Name:MY ECONOS 3995 OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:SON
Authorized Official - Last Name:YUCHNITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-673-3995
Mailing Address - Street 1:1706 SW LOOP 410
Mailing Address - Street 2:#101
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-1675
Mailing Address - Country:US
Mailing Address - Phone:210-337-3995
Mailing Address - Fax:210-922-8887
Practice Address - Street 1:1336 SW MILITARY DR
Practice Address - Street 2:#2
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1575
Practice Address - Country:US
Practice Address - Phone:210-673-3995
Practice Address - Fax:210-673-1508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2016-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX312786201Medicaid
TX6715590004Medicare NSC