Organization Active NPI

Ronald F Huebsch OD

  • Durable Medical Equipment & Medical Supplies
  • Princeton, MN
National Provider Identifier
1265617641
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1783 Issued in MN
Legal business name
RONALD F HUEBSCH OD
Practice address
523 1St St
Princeton, MN 55371-1603
Phone
(763) 389-3150
Fax
(763) 389-0664
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Ronald F Huebsch, OD
Title
Optometrist Owner
Phone
(763) 389-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1783 MN Primary

Addresses

Primary practice location

523 1St St
Princeton, MN 55371-1603

Mailing address

523 1St St
Princeton, MN 55371-1603
Phone (763) 389-3150

Other identifiers 1

IdentifierTypeStateIssuer
584823700MedicaidMN

Other names 1

  • Ronald F Huebsch OD Doing business as

National Provider Directory

National Provider Directory

Locations

523 1st St
Princeton, MN 55371
Phone (612) 389-3150

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1265617641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 1ST ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711603",
            "telephone_number": "763-389-3150",
            "fax_number": "763-389-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 1ST ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711603",
            "telephone_number": "763-389-3150",
            "fax_number": "763-389-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD F HUEBSCH OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "HUEBSCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "763-389-3150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "1783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584823700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald F Huebsch OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Princeton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.