Organization Active NPI

Dr. Russell a. Hughes, Optometrist, PA

  • Eyewear Supplier
  • Hayesville, NC
National Provider Identifier
1124113105
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1049 Issued in NC
Legal business name
DR. RUSSELL A. HUGHES, OPTOMETRIST, PA
Practice address
1091 US Highway 64 West
Suite 2
Hayesville, NC 28904-0058
Phone
(828) 389-3511
Fax
(828) 389-3544
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Russell A. Hughes, OD
Title
President & Ceo
Phone
(828) 389-3511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1049 NC Primary

Addresses

Primary practice location

1091 US Highway 64 West
Suite 2
Hayesville, NC 28904-0058

Mailing address

PO Box 58
Hayesville, NC 28904-0058
Phone (828) 389-3511

Other identifiers 1

IdentifierTypeStateIssuer
8909427MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1124113105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289040058",
            "telephone_number": "828-389-3511",
            "fax_number": "828-389-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 US HIGHWAY 64 WEST",
            "address_2": "SUITE 2",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289040058",
            "telephone_number": "828-389-3511",
            "fax_number": "828-389-3544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RUSSELL A. HUGHES, OPTOMETRIST, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "828-389-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NC",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909427",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.