Provider Demographics
NPI:1003475138
Name:HUYNH, VICTORIA (OD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
Last Name:HUYNH
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 1:1030 W BAY DR
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-3276
Mailing Address - Country:US
Mailing Address - Phone:727-585-2200
Mailing Address - Fax:727-584-9239
Practice Address - Street 1:1030 W BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-3276
Practice Address - Country:US
Practice Address - Phone:727-585-2200
Practice Address - Fax:727-584-9239
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5684152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist