Organization Active NPI

Huber Eyecare, Inc.

  • Optometrist
  • Rochester, MN
National Provider Identifier
1003095118
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2967 Issued in MN
Legal business name
HUBER EYECARE, INC.
Practice address
1161 Maine Ave SE #4430
Target Optical
Rochester, MN 55904
Phone
(507) 206-5020
NPI assigned
Oct 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gary Ty Huber, O.D.NPI 1447392709
Title
Owner
Phone
(773) 802-5829

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2967 MN Primary

Addresses

Primary practice location

1161 Maine Ave SE #4430
Target Optical
Rochester, MN 55904

Mailing address

2711 Commerce Dr NW
Suite 100
Rochester, MN 55901-2262
Phone (507) 206-4567

Other names 1

  • Huber Eyecare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1003095118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 COMMERCE DR NW",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012262",
            "telephone_number": "507-206-4567",
            "fax_number": "507-206-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 MAINE AVE SE #4430",
            "address_2": "TARGET OPTICAL",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55904",
            "telephone_number": "507-206-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBER EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "TY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-802-5829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huber Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.