Active NPI
Kenneth Joseph Hue, OD
- Optometrist
- Indiana, PA
National Provider Identifier
1003952722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG000535
- Practice address
- 503 Airport Professional Center
1380 RT 286 Hwy East
Indiana, PA 15701 - Phone
- (724) 349-3800
- Fax
- (724) 349-5790
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000535 | PA | Primary |
Addresses
Primary practice location
503 Airport Professional Center
1380 RT 286 Hwy East
Indiana, PA 15701
Mailing address
503 Airport Professional Center
1380 RT 286 Hwy East
Indiana, PA 15701
Phone (724) 349-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007354910004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003952722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 AIRPORT PROFESSIONAL CENTER",
"address_2": "1380 RT 286 HWY EAST",
"city": "INDIANA",
"state": "PA",
"postal_code": "15701",
"telephone_number": "724-349-3800",
"fax_number": "724-349-5790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 AIRPORT PROFESSIONAL CENTER",
"address_2": "1380 RT 286 HWY EAST",
"city": "INDIANA",
"state": "PA",
"postal_code": "15701",
"telephone_number": "724-349-3800",
"fax_number": "724-349-5790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUE",
"first_name": "KENNETH",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007354910004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indiana, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.