Organization Active NPI

Dr. Richard E Hults and Associates, Inc.

  • Optometrist
  • Elyria, OH
National Provider Identifier
1003226820
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3420 Issued in OH
Legal business name
DR. RICHARD E HULTS AND ASSOCIATES, INC.
Practice address
4690 Midway Mall
Elyria, OH 44035-2469
Phone
(440) 324-4557
Fax
(866) 425-2239
NPI assigned
May 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2014

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

Authorized official

Name
Dr. Richard Hults, O.D.
Title
President
Phone
(330) 697-4748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3420 OH Primary

Addresses

Primary practice location

4690 Midway Mall
Elyria, OH 44035-2469

Mailing address

PO Box 880
Hudson, OH 44236-5880
Phone (330) 697-4748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050520000694 OH Part B Supplier - Clinic/Group Practice 3971544875 Receives reassigned benefits from 11 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Canton, OH; Elyria, OH; Fairview Park, OH; Akron, OH

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Dr Richard E Hults As4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4157 Belden Village Mall
Canton, OH 44718
Phone (330) 422-4464

4690 Midway Mall
Elyria, OH 44035
Phone (440) 324-2777

3177 Westgate
Fairview Park, OH 44126
Phone (330) 688-2299

Practitioners & affiliated clinicians

Practitioners 10

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": "1398902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1003226820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442365880",
            "telephone_number": "330-697-4748",
            "fax_number": "866-425-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 MIDWAY MALL",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352469",
            "telephone_number": "440-324-4557",
            "fax_number": "866-425-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RICHARD E HULTS AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-01",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "HULTS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-697-4748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.