Individual provider Active NPI

Thomas Micheal Huff, O.D.

  • Optometrist
  • Alamosa, CO
National Provider Identifier
1104137694
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2902 Issued in CO
Practice address
3333 Clark St
Alamosa, CO 81101-2050
Phone
(719) 992-2121
Fax
(719) 993-0155
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002584 GA
Optometrist 152W00000X 3276 TN
Optometrist 152W00000X 2902 CO Primary

Addresses

Primary practice location

3333 Clark St
Alamosa, CO 81101-2050

Mailing address

719 Carson St
Greeneville, TN 37743-4703
Phone (719) 298-1393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121017000130 CO Practitioner - Optometry 8325232481 Reassigns benefits to 1 organization
I20181227002066 GA Practitioner - Optometry 8325232481

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3333 Clark St
Alamosa, CO 81101-2050
Phone (719) 992-2121

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2902COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Eye Care LLC Optometrist PastSince Jan 1, 2012 Accepting new patients
Patricia Hanks OD PC Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thomas.huff@direct.revolutionehr.com

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1104137694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 CARSON ST",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377434703",
            "telephone_number": "719-298-1393",
            "fax_number": "423-638-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CLARK ST",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012050",
            "telephone_number": "719-992-2121",
            "fax_number": "719-993-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "THOMAS",
        "middle_name": "MICHEAL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002584",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3276",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.