Active NPI
Maude Hough
- Optician
- Gainesville, FL
National Provider Identifier
1275925281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO5019
- Practice address
- 4605 NW 6TH St Ste 2C
Gainesville, FL 32609-4197 - Phone
- (352) 377-0532
- Fax
- (352) 338-8001
- NPI assigned
- Feb 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO5019 | FL | Primary |
Addresses
Primary practice location
4605 NW 6TH St Ste 2C
Gainesville, FL 32609-4197
Mailing address
4605 NW 6TH St Ste 2C
Gainesville, FL 32609-4197
Phone (352) 377-0532
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 630303001 | Medicaid | FL | |
| 1225153455 | Other | FL | NPI |
| 1720232648 | Other | FL | NPI |
| 630303000 | Medicaid | FL |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO5019 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four H Optical | Optician | Past | Accepting new patients |
| Four H Optical | Optician | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Optician
- Gainesville, FL
- NPI 1225153455
-
- Optician
- Gainesville, FL
- NPI 1720232648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1275925281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 NW 6TH ST STE 2C",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326094197",
"telephone_number": "352-377-0532",
"fax_number": "352-338-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 NW 6TH ST STE 2C",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326094197",
"telephone_number": "352-377-0532",
"fax_number": "352-338-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUGH",
"first_name": "MAUDE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-27",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO5019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630303001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1225153455",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1720232648",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "630303000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.