Individual provider Active NPI

David E Huston, OD

  • Optometrist
  • Lynn Haven, FL
National Provider Identifier
1114054830
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4138 Issued in FL
Practice address
2101 S Highway 77
Vision Center
Lynn Haven, FL 32444-4631
Phone
(850) 271-3004
Fax
(850) 265-2607
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4138 FL Primary

Addresses

Primary practice location

2101 S Highway 77
Vision Center
Lynn Haven, FL 32444-4631

Mailing address

PO Box 2112
Lynn Haven, FL 32444-8112
Phone (850) 419-3559

Other identifiers 1

IdentifierTypeStateIssuer
621164000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070815000433 FL Practitioner - Optometry 6709978133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2101 S Hwy 77
Vision Center
Lynn Haven, FL 32444-4631
Phone (850) 271-3004

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr David Huston OD PA Optometrist CurrentSince Oct 4, 2007 Accepting new patients

Locations

2101 S Highway 77
Lynn Haven, FL 32444
Phone (850) 271-3004

733 N Highway 231
Panama City, FL 32405
Phone (850) 419-3559

Organizations & group practices 1

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1114054830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2112",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324448112",
            "telephone_number": "850-419-3559",
            "fax_number": "850-265-2607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S HIGHWAY 77",
            "address_2": "VISION CENTER",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324444631",
            "telephone_number": "850-271-3004",
            "fax_number": "850-265-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTON",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621164000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn Haven, FL

Sources for this page

Verify at the official NPI Registry.