Ruth Ann Hyatt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4715 Issued in FL

Practice address

1545 Hand Ave
Suite B-3
Ormond Beach, FL 32174-1139

Phone

(386) 673-3939

NPI assigned

Jan 17, 2013

Last updated

Sep 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1164760773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 HAND AVE",
            "address_2": "SUITE B-3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741139",
            "telephone_number": "386-673-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 HAND AVE",
            "address_2": "SUITE B-3",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741139",
            "telephone_number": "386-673-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYATT",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Humphrey
• Melissa Hurley, PSY.D.
• Chelsea Jade Hutchinson, NP
• Lindsey Hutchinson, OD, MS
• Laura Hutson, PTA
• Jason Edward Iannarelli, OD
• Jennifer Myles Iannarelli, O.D.
• Amy Deborah Iannitelli, LMHC
• Therese A Ibrahim, MD
• Independent Surgical Assist Inc

• Optometrist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.