Active NPI
Elaine M. Hussey, O.D.
- Optometrist
- Albany, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1542AT
- Practice address
- 2715 Willetta St SW
Albany, OR 97321-3471 - Phone
- (541) 926-5848
- Fax
- (541) 926-2873
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- 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 | 1542AT | OR | Primary |
Addresses
Primary practice location
2715 Willetta St SW
Albany, OR 97321-3471
Mailing address
2715 Willetta St SW
Albany, OR 97321-3471
Phone (541) 926-5848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116637 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Mullins Dr
Suite B3
Lebanon, OR 97355-2868
Phone (541) 451-5808
2715 Willetta St SW
Suite B
Albany, OR 97321-3471
Phone (541) 926-5848
2715 Willetta St SW B
Albany, OR 97321-3471
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.37 of 100
- Quality
- 68.21
- Improvement activities
- 40
- Cost
- 76.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1542AT | OR | MD | Optometrist |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Associates PC | Optometrist | Current | Accepting new patients |
| Bridgeport Eye Physicians, LLC | Optometrist | Past | Accepting new patients |
Locations
2119 Pacific Blvd SW
Ste 101
Albany, OR 97321
Phone (541) 928-2020
2715 Willetta St SW
Albany, OR 97321
Phone (541) 926-5848
2715 Willetta St SW
Ste B
Albany, OR 97321
Phone (541) 926-5848
227 NW 3rd St
Corvallis, OR 97330
Phone (541) 757-1120
2400 NW Century Dr
Corvallis, OR 97330
Phone (541) 752-4622
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Interoperability endpoints
- elaine.hussey.p1@direct.eca.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224547200000",
"number": "1013947902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 WILLETTA ST SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973213471",
"telephone_number": "541-926-5848",
"fax_number": "541-926-2873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2715 WILLETTA ST SW",
"city": "ALBANY",
"state": "OR",
"postal_code": "973213471",
"telephone_number": "541-926-5848",
"fax_number": "541-926-2873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSEY",
"first_name": "ELAINE",
"middle_name": "M.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2008-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "1542AT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "116637",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.