Active NPI
Kristan Lee Huff, OD
- Optometrist
- Kettering, OH
National Provider Identifier
1225148570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OH4940
- Practice address
- 4021 Far Hills Ave
Kettering, OH 45429-2413 - Phone
- (937) 293-2149
- Fax
- (937) 395-9633
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OH4940 | OH | Primary |
| Optometrist | 152W00000X | T13132 | CA |
Addresses
Primary practice location
4021 Far Hills Ave
Kettering, OH 45429-2413
Mailing address
407 W David Rd
Kettering, OH 45429-1811
Phone (937) 296-1444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T13132 | CA | MD | Optometrist |
| OH4940 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1225148570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 W DAVID RD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291811",
"telephone_number": "937-296-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 FAR HILLS AVE",
"city": "KETTERING",
"state": "OH",
"postal_code": "454292413",
"telephone_number": "937-293-2149",
"fax_number": "937-395-9633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFF",
"first_name": "KRISTAN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "OH4940",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "T13132",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.