Active NPI
Michael K. Hughes, O. D.
- Optometrist
- Gillette, WY
National Provider Identifier
1346210531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 129 T
- Practice address
- 1103 E. Boxelder Rd.
Suite F
Gillette, WY 82718-5582 - Phone
- (307) 682-2747
- Fax
- (307) 686-9984
- NPI assigned
- Jan 23, 2006
- Last updated
- Nov 14, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 129 T | WY | Primary |
Addresses
Primary practice location
1103 E. Boxelder Rd.
Suite F
Gillette, WY 82718-5582
Mailing address
1103 E Boxelder Rd
Suite F
Gillette, WY 82718-5582
Phone (307) 682-2747
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447406269 | Other | WY | BUSINESS NPI |
| W22044 | Other | WY | MEDICARE INDIVIDUAL PTAN |
| 1346210531 | Other | WY | INDIVIDUAL NPI |
| 115074000 | Medicaid | WY | |
| W22043 | Other | WY | MEDICARE BUSINESS PTAN |
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 |
|---|---|---|---|
| 129 T | WY | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Gillette, WY
- NPI 1447406269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1346210531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 E BOXELDER RD",
"address_2": "SUITE F",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827185582",
"telephone_number": "307-682-2747",
"fax_number": "307-686-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 E. BOXELDER RD.",
"address_2": "SUITE F",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827185582",
"telephone_number": "307-682-2747",
"fax_number": "307-686-9984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "MICHAEL",
"middle_name": "K.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WY",
"license": "129 T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUSINESS NPI",
"identifier": "1447406269",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "W22044",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1346210531",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115074000",
"state": "WY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE BUSINESS PTAN",
"identifier": "W22043",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.