Jay L Huddleston, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00001311 Issued in WA

Practice address

1110 12TH St
Anacortes, WA 98221-2104

Phone

(360) 293-9312

Fax

(360) 299-3937

NPI assigned

May 24, 2005

Last updated

Dec 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• North Cascade Eye Associates PS

  dba Cascadia Eye

  • Ophthalmology Physician
  • Anacortes, WA
  • NPI 1669854022
  NPD (past)
• North Cascade Eye Associates PS

  dba Cascadia Eye

  • Ophthalmology Physician
  • Mount Vernon, WA
  • NPI 1811749013
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1396748174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 12TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212104",
            "telephone_number": "360-293-9312",
            "fax_number": "360-299-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 12TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212104",
            "telephone_number": "360-293-9312",
            "fax_number": "360-299-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "JAY",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00001311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083202",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Mary-Margaret Hopper
• Allen Horesh, M.D.
• Stephen M Horras, M.D.
• Robert Boyd Houston, DC
• Gary Hudak, MD
• Kaylie Huynh, RPH
• Sunny Hwang-Oras, APRN
• Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy Anacortes)
• Island Behavioral Medicine, PS (Island Behavioral Medicine)
• Island County Dermatology, PLLC (Island Skin Cancer Center)

• Optometrist in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.