Individual provider Active NPI

J Jeffrey Hughes, OD

  • Optometrist
  • Huntington, IN
National Provider Identifier
1093763989
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002003 B Issued in IN
Practice address
2855 Northpark Ave Ste 104
Huntington, IN 46750-9736
Phone
(260) 356-6422
Fax
(260) 356-6423
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002003 B IN Primary

Addresses

Primary practice location

2855 Northpark Ave Ste 104
Huntington, IN 46750-9736

Mailing address

2855 Northpark Ave Ste 104
Huntington, IN 46750-9736
Phone (260) 356-6422

Other identifiers 2

IdentifierTypeStateIssuer
1750559068OtherINMEDICARE DME
100138100AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018001257 IN Practitioner - Optometry 9537274493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Family Optometrists IncGroup PAC ID 5395803290, 7 clinicians

Practice addresses (Care Compare)

2880 Northpark Ave
Huntington, IN 46750-9700
Phone (260) 356-6422

506 S Washington St
Marion, IN 46953-1961
Phone (765) 662-6648

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002003 BINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Family Optometrists, Inc. Optometrist CurrentSince Jan 1, 2018 Accepting new patients
Marion Family Optometrists, Inc. Optometrist CurrentSince Jan 1, 2018 Accepting new patients
J Jeffrey Hughes OD Optometrist PastSince Aug 18, 2015 Accepting new patients

Locations

2855 Northpark Ave
Ste 104
Huntington, IN 46750
Phone (219) 356-6422

2880 Northpark Ave
Huntington, IN 46750
Phone (260) 356-6422

506 S Washington St
Marion, IN 46953
Phone (765) 662-6648

905 Manchester Ave
Wabash, IN 46992
Phone (260) 563-0884

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1093763989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 NORTHPARK AVE STE 104",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467509736",
            "telephone_number": "260-356-6422",
            "fax_number": "260-356-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 NORTHPARK AVE STE 104",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467509736",
            "telephone_number": "260-356-6422",
            "fax_number": "260-356-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "J",
        "middle_name": "JEFFREY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002003 B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME",
            "identifier": "1750559068",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138100A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, IN

Sources for this page

Verify at the official NPI Registry.