Individual provider Active NPI

Charles Edward Huck, O.D.

  • Optometrist
  • Bloomington, IN
National Provider Identifier
1346222320
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002173 Issued in IN
Practice address
1011 W 2ND St
Bloomington, IN 47403-2216
Phone
(812) 334-1213
Fax
(812) 333-5039
NPI assigned
Nov 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002173 IN Primary

Addresses

Primary practice location

1011 W 2ND St
Bloomington, IN 47403-2216

Mailing address

1011 W 2ND St
Bloomington, IN 47403-2216
Phone (812) 334-1213

Other identifiers 1

IdentifierTypeStateIssuer
100361060AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000797 IN Practitioner - Optometry 8820272651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integ Health System PCGroup PAC ID 8921035676, 8 clinicians

Practice addresses (Care Compare)

1011 W 2ND St
Bloomington, IN 47403-2216
Phone (812) 334-1213

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.74 of 100Reported as group
Quality
83.76
Improvement activities
40
Cost
77.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002173INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Integ Health System, P.C. CurrentSince Jul 1, 1998 Accepting new patients
Integ Health System, P.C. CurrentSince Jul 1, 1998 Accepting new patients

Locations

1011 W 2nd St
Bloomington, IN 47403
Phone (812) 334-1213

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/medflow_integ_health_systems

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1346222320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032216",
            "telephone_number": "812-334-1213",
            "fax_number": "812-333-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032216",
            "telephone_number": "812-334-1213",
            "fax_number": "812-333-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUCK",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100361060A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.