Mary Ann Ellement Hueftle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

772 Issued in NV

Practice address

10583 Double R Blvd
Reno, NV 89521-8909

Phone

(775) 323-4391

NPI assigned

Dec 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Michelle Wong Optometry PC

  • Optometrist
  • Reno, NV
  • NPI 1780233460
  Medicare reassignment NPD
• Michelle Wong Optometry PC

  dba Family Eyecare Associates - Sparks

  • Optometrist
  • Sparks, NV
  • NPI 1780261248
  NPD

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1215368550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239203",
            "telephone_number": "775-827-3937",
            "fax_number": "775-746-5316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10583 DOUBLE R BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218909",
            "telephone_number": "775-323-4391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "448 S Maine St",
            "address_purpose": "LOCATION",
            "city": "Fallon",
            "state": "NV",
            "postal_code": "894063342",
            "country_code": "US",
            "telephone_number": "775-423-7411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUEFTLE",
        "first_name": "MARY ANN",
        "middle_name": "ELLEMENT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3531AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Hudson
• Tina A. Hudson, CADC- INTERN
• Sherry Lynn Huebner, A.P.N.
• Kalin Hueftle
• Mark George Hueftle, M.D.
• Rachael Louise Hueftle, NP
• Donald S Huene, M.D.
• Josie M Huerta, PHARM.D.
• Tayleigh Huerta
• Brian Huff, MFT

• Optometrist in Reno, NV
• Providers in Reno, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.