STANLEY HUEY, O.D. & TINA H. FONG, O.D. (NPI# 1669557096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669557096 |
| Entity Type | Organization |
| Organization Name | STANLEY HUEY, O.D. & TINA H. FONG, O.D. |
| Practice Address |
12417 Fair Oaks Blvd Suite 500 Fair Oaks CA 95628-2501 |
| Mailing Address |
12417 Fair Oaks Blvd. Suite 500 Fair Oaks CA 95628-2558 |
| Practice Telephone | 9167224280 |
| Practice Fax Number | 9167220148 |
| Mailing Telephone | 9167224280 |
| Mailing Fax Number | 9167220148 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2009-12-02 |
| Authorized Official Name | DR. TINA HUEY FONG (OPTOMETRIST/GENERAL PARTNER) |
| Authorized Official Telephone | 9167224280 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0052200 | 05 |
| Street Address |
12417 FAIR OAKS BLVD SUITE 500 |
| City | FAIR OAKS |
| State | CA |
| Zip Code | 95628-2501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104271329 | Yael Saavedra | Physician Assistant | 12417 Fair Oaks Blvd, #600, Fair Oaks, CA 95628-2501 | 2016-04-25 |
| 1871993691 | Absolute Medical | Clinic/Center | 12417 Fair Oaks Blvd, Suite # 600, Fair Oaks, CA 95628-2501 | 2014-08-28 |
| 1629346242 | Sacramento Family Medical Center | Family Medicine | 12417 Fair Oaks Blvd, #600, Fair Oaks, CA 95628-2501 | 2011-12-09 |
| 1518276906 | Drx One Health Services, P.C. | Health Maintenance Organization | 12417 Fair Oaks Blvd, #600, Fair Oaks, CA 95628-2501 | 2010-10-02 |
| 1730216540 | Stanley Huey | Optometrist | 12417 Fair Oaks Blvd, Suite 500, Fair Oaks, CA 95628-2501 | 2007-02-28 |
| 1043347859 | Tina Huey Fong | Optometrist | 12417 Fair Oaks Blvd, Suite 500, Fair Oaks, CA 95628-2501 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103590 | Nora's Home Care, Inc | Assisted Living Facility | 5813 Kenneth Ave, Fair Oaks, CA 95628 | 2018-08-08 |
| 1124545512 | Shelby Matthews | Behavior Technician | 7712 Magnolia Ave, Fair Oaks, CA 95628 | 2017-08-25 |
| 1386166908 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. B, Fair Oaks, CA 95628 | 2017-07-14 |
| 1063934867 | Harcourt Bridges, LLC | Counselor | 4112 Crestline Ave Ste. A, Fair Oaks, CA 95628 | 2017-07-13 |
| 1467986075 | Shelby Bryeans | Behavior Technician | 7949 California Ave Ste 15, Fair Oaks, CA 95628 | 2017-04-20 |
| 1942698790 | Life Span Home, Inc | Home Health | 4041 Bridge Street, Fair Oaks, CA 95628 | 2015-01-02 |
| 1861808008 | Edward John Olson | Social Worker | 5213 Vista Del Oro Way, Fair Oaks, CA 95628 | 2014-07-09 |
| 1073924643 | Frank Gontarski | Dentist | 4363 Hazel Avenue, Suite 6, Fair Oaks, CA 95628 | 2014-05-16 |
| 1801232921 | Lisa Hitomi | Community Health Worker | 9915 Fair Oaks Blvd, Fair Oaks, CA 95628 | 2013-05-15 |
| 1972842375 | Nicole Diana Cable | Marriage & Family Therapist | 10217 Fair Oaks Blvd, Suite A, Fair Oaks, CA 95628 | 2013-02-05 |
| Find all providers in zip 95628 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265729222 | Yoseph Sarrafzadeh | Optometrist | 5340 Pacific Palm Ct, Fair Oaks, CA 95628-3270 | 2011-06-28 |
| 1114218997 | Macarius, Max & Daniel, LLC | Optometrist | 7350 Madison Ave, Fair Oaks, CA 95628-3309 | 2011-04-27 |
| 1255404026 | Lyndsay J Antkowiak | Optometrist | 5345 Sunrise Blvd, Fair Oaks, CA 95628-3539 | 2006-11-17 |
| 1356331938 | Elisabeth Sarah Swan | Optometrist | 4335 Hazel Ave, Fair Oaks, CA 95628-6669 | 2005-10-25 |
| 1174529721 | Wesley S Umeda | Optometrist | 7547 Sunset Ave, Fair Oaks, CA 95628-4720 | 2005-06-27 |
| 1588215651 | Atif Javed | Optometrist | 7350 Madison Ave, Fair Oaks, CA 95628-3309 | 2019-09-20 |
| 1386198794 | Jennifer Nguyen | Optometrist | 5345 Sunrise Blvd, Fair Oaks, CA 95628-3546 | 2016-08-15 |
| 1861729881 | Dawn T Vo | Optometrist | 5345 Sunrise Blvd, Fair Oaks, CA 95628-3539 | 2009-11-11 |
| 1215174867 | Elisabeth S Swan Optometry Inc | Optometrist | 4335 Hazel Ave, Fair Oaks, CA 95628-6669 | 2009-01-18 |
| 1255576674 | Jason B Settlemier | Optometrist | 5345 Sunrise Blvd, Quail Pointe, Fair Oaks, CA 95628-3539 | 2008-12-15 |
| Find all providers in FAIR OAKS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.