Active NPI
Emily Tuthill, OD
- Optometrist
- Keene, NH
National Provider Identifier
1366519324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0793
- Practice address
- 171 West Street
Keene, NH 03431 - Phone
- (603) 357-2990
- Fax
- (603) 357-4481
- NPI assigned
- Nov 28, 2006
- Last updated
- Apr 18, 2018
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0793 | NH | Primary |
Addresses
Primary practice location
171 West Street
Keene, NH 03431
Mailing address
171 West Street
Keene, NH 03431
Phone (603) 357-2990
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09Y011482NH01 | Other | NH | ANTHEM |
| 020382284 | Other | NH | CIGNA |
| 42426 | Other | NH | DAVIS VISION |
| 30354826 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
171 W St
Keene, NH 03431-3365
Phone (603) 357-2990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0793 | NH | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keene Vision Limited Partnership | Optometrist | Current | Accepting new patients |
Locations
171 West St
Keene, NH 03431
Phone (603) 357-2990
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1366519324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 WEST STREET",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-357-2990",
"fax_number": "603-357-4481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 WEST STREET",
"city": "KEENE",
"state": "NH",
"postal_code": "03431",
"telephone_number": "603-357-2990",
"fax_number": "603-357-4481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUTHILL",
"first_name": "EMILY",
"name_prefix": "Mrs.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NH",
"license": "0793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "09Y011482NH01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "020382284",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "42426",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30354826",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.