Ryan D. Huber, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100228 Issued in ID

Legal business name

RYAN D. HUBER, O.D., P.A.

Practice address

27 N Fisher Park Way
Suite 101
Eagle, ID 83616-4796

Phone

(208) 514-1858

Fax

(844) 840-3190

NPI assigned

Jun 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Douglas Huber, O.D.NPI 1558657783

Title

Optometrist/Owner

Phone

(208) 514-1858

Specialties & licenses 1

Addresses

Other names 1

• Six One Six Vision Center Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Douglas Huber, O.D.

  • Optometrist
  • Eagle, ID
  • NPI 1558657783
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Marie Huber, O.D.

  • Optometrist
  • Eagle, ID
  • NPI 1942563424
  Medicare reassignment Care Compare group NPD
• Shelby Ann Strick, OD

  • Optometrist
  • Nampa, ID
  • NPI 1225680739
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1215317524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 N FISHER PARK WAY",
            "address_2": "SUITE 101",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164796",
            "telephone_number": "208-514-1858",
            "fax_number": "844-840-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 N FISHER PARK WAY",
            "address_2": "SUITE 101",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164796",
            "telephone_number": "208-514-1858",
            "fax_number": "844-840-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN D. HUBER, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "208-514-1858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Six One Six Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Rogers, M.S.
• Cynthia Roos, RN, IBCLC
• Kristine Rose
• Patrick Dale Ruch, COTA/L
• Anna Renee Rule, M.S.
• Sage Counseling and Hypnotherapy, LLC
• Saint Alphonsus Physician Services Inc
• Saint Alphonsus Regional Medical Center Inc
• Saint Alphonsus Rehabilitation Services
• Baylee Louise Sanderson, LMSW

• Optometrist in Eagle, ID
• Providers in Eagle, ID by specialty
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.