Individual provider Active NPI

Tami Sue Hunt, O.D.

  • Optometrist
  • Verona, WI
National Provider Identifier
1366416661
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2985 Issued in WI
Practice address
320 S Main St
Verona, WI 53593-1424
Phone
(608) 848-5168
Fax
(608) 848-6012
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2985 WI Primary

Addresses

Primary practice location

320 S Main St
Verona, WI 53593-1424

Mailing address

320 S Main St
Verona, WI 53593-1424
Phone (608) 848-5168

Other identifiers 1

IdentifierTypeStateIssuer
38631300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20050111001014 WI Practitioner - Optometry 0042268542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Verona Vision Care LLCGroup PAC ID 2163423484, 4 clinicians

Practice addresses (Care Compare)

320 S Main St
Verona, WI 53593-1424
Phone (608) 848-5168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2985WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Verona Vision Care, LLC Optometrist CurrentSince Sep 1, 2006 Accepting new patients
Vincent R Facchiano & Assoc SC Optometrist Past Accepting new patients

Locations

320 S Main St
Verona, WI 53593
Phone (608) 848-5168

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1366416661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 S MAIN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931424",
            "telephone_number": "608-848-5168",
            "fax_number": "608-848-6012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 S MAIN ST",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931424",
            "telephone_number": "608-848-5168",
            "fax_number": "608-848-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNT",
        "first_name": "TAMI",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38631300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, WI

Sources for this page

Verify at the official NPI Registry.