Provider Demographics
NPI:1679636518
Name:HUI, CINDY C (OD)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:C
Last Name:HUI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4927 CONWAY TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94555-2861
Mailing Address - Country:US
Mailing Address - Phone:510-797-2116
Mailing Address - Fax:
Practice Address - Street 1:4927 CONWAY TER
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94555-2861
Practice Address - Country:US
Practice Address - Phone:510-797-2116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 10335 TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1306035118Medicaid
CASD0103351OtherPPIN
CA1306035118OtherGROUP NPI
CABF492AMedicare PIN
CAP00741252Medicare PIN
CABR184Medicare PIN
CADP2509Medicare PIN
CASD0103351OtherPPIN
CAU51933Medicare UPIN
CA6191070001Medicare NSC
CA1306035118Medicaid