Provider Demographics
NPI:1821136565
Name:HUANG, RAYMOND ZUIE-TSHONG (OD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:ZUIE-TSHONG
Last Name:HUANG
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 1:4482 BARRANCA PKWY STE 190
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-4706
Mailing Address - Country:US
Mailing Address - Phone:949-559-8838
Mailing Address - Fax:949-559-9371
Practice Address - Street 1:4482 BARRANCA PKWY STE 190
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-4706
Practice Address - Country:US
Practice Address - Phone:949-559-8838
Practice Address - Fax:949-559-9371
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 9790T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0097900Medicaid
OP9790OtherEYEMED
330772408OtherFED TAX ID
OP9790OtherEYEMED
CASD0097900Medicaid
CA99075031021Medicare ID - Type Unspecified