Organization Active NPI

Michael O. Hughes

  • Ocularist
  • Vienna, VA
National Provider Identifier
1174531156
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
Legal business name
MICHAEL O. HUGHES
Doing business as
Artificial Eye Clinic
Practice address
307 Maple Ave W
#B
Vienna, VA 22180
Phone
(703) 352-3520
Fax
(703) 938-2905
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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

Authorized official

Name
Mr. Michael O Hughes, BCO
Title
Owner Ocularist
Phone
(703) 352-3520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OcularistGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1700X Primary

Addresses

Primary practice location

307 Maple Ave W
#B
Vienna, VA 22180

Mailing address

307 Maple Ave W
#B
Vienna, VA 22180
Phone (703) 352-3520

Other identifiers 3

IdentifierTypeStateIssuer
034648900MedicaidDC
009134531MedicaidVA
699440700MedicaidMD

Other names 1

  • Artificial Eye Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930100719 VA DME Supplier - Prosthetic Personnel 9830218700 Practice locations: Vienna, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Michael O. Hughes307 Maple Ave W, Vienna, VA 22180-4307(703) 352-3520 Ocular Prostheses Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

307 Maple Ave W
Ste Sb
Vienna, VA 22180
Phone (703) 352-3520

307 Maple Ave W
Ste B
Vienna, VA 22180
Phone (703) 352-3520

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539302400000",
    "number": "1174531156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAPLE AVE W",
            "address_2": "#B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22180",
            "telephone_number": "703-352-3520",
            "fax_number": "703-938-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAPLE AVE W",
            "address_2": "#B",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22180",
            "telephone_number": "703-352-3520",
            "fax_number": "703-938-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL O. HUGHES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2018-10-12",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER OCULARIST",
        "authorized_official_telephone_number": "703-352-3520",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034648900",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009134531",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699440700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Artificial Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Artificial Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.