Provider Demographics
NPI:1962836049
Name:HUEZO, MARGARITA (OD)
Entity Type:Individual
Prefix:DR
First Name:MARGARITA
Middle Name:
Last Name:HUEZO
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 1:5625 GOSFORD RD
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-4999
Mailing Address - Country:US
Mailing Address - Phone:661-665-8327
Mailing Address - Fax:661-347-1078
Practice Address - Street 1:5625 GOSFORD RD
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-4999
Practice Address - Country:US
Practice Address - Phone:661-665-8327
Practice Address - Fax:661-347-1078
Is Sole Proprietor?:No
Enumeration Date:2013-08-26
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14678152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist