NPIMap

Organization Active NPI

Huffman and Huffman PSC

  • Ophthalmology Physician
  • London, KY
National Provider Identifier
1275520116
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
HUFFMAN AND HUFFMAN PSC
Practice address
503 N Main St
London, KY 40741-1217
Phone
(606) 877-1877
Fax
(606) 878-9543
NPI assigned
Oct 5, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Mr. James Glenn Huffman, MDNPI 1639166069
Title
Co-President
Phone
(606) 877-1877

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

503 N Main St
London, KY 40741-1217

Mailing address

503 N Main St
London, KY 40741-1217
Phone (606) 877-1877

Other identifiers 5

IdentifierTypeStateIssuer
65928822MedicaidKY
77902260MedicaidKY
77903656MedicaidKY
1275520116MedicaidTN
4032919MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050516000419 KY Part B Supplier - Clinic/Group Practice 5698716132 Receives reassigned benefits from 18 practitioners
Practice locations: Manchester, KY; Somerset, KY; Russell Springs, KY; London, KY; Lexington, KY; Lancaster, KY; Hazard, KY; Harlan, KY…
O20050609000840 TN Part B Supplier - Clinic/Group Practice 5698716132 Practice locations: Jellico, TN
O20100930064401 KY DME Supplier - Physician - OphthalmologyDME Supplier - Optician 5698716132 Practice locations: London, KY

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

604 Knox St
Barbourville, KY 40906
Phone (606) 545-0586

1848 S US Highway 421
Harlan, KY 40831
Phone (606) 573-6928

100 Fortress Properties St
Ste 1
London, KY 40741
Phone 6068771877114

803 Meyers Baker Rd
Ste 3
London, KY 40741

2145 US Highway 25 E
#A
Middlesboro, KY 40965

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1275520116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411217",
            "telephone_number": "606-877-1877",
            "fax_number": "606-878-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411217",
            "telephone_number": "606-877-1877",
            "fax_number": "606-878-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUFFMAN AND HUFFMAN PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "606-877-1877",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65928822",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77902260",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77903656",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275520116",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4032919",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.