Provider Demographics
NPI:1053549410
Name:HINKLEY, DOROTHY NGUYEN HUY DOAN (OD)
Entity type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:NGUYEN HUY DOAN
Last Name:HINKLEY
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 1:960 FULTON AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-4558
Mailing Address - Country:US
Mailing Address - Phone:916-646-9155
Mailing Address - Fax:916-646-9264
Practice Address - Street 1:960 FULTON AVE STE 400
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-4558
Practice Address - Country:US
Practice Address - Phone:916-646-9155
Practice Address - Fax:916-646-9264
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13740 TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP01143984Medicare PIN
CADW591AMedicare PIN