Provider Demographics
NPI:1871615328
Name:HUA, THUY U (OD)
Entity type:Individual
Prefix:DR
First Name:THUY
Middle Name:U
Last Name:HUA
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:3501 JAMBOREE RD
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2939
Mailing Address - Country:US
Mailing Address - Phone:949-854-7400
Mailing Address - Fax:949-854-7331
Practice Address - Street 1:3501 JAMBOREE RD
Practice Address - Street 2:SUITE 1100
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2939
Practice Address - Country:US
Practice Address - Phone:949-854-7400
Practice Address - Fax:949-854-7331
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAOPT10110T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA10110TOtherLISCENSE