Individual provider Active NPI

Edwin Tuhy Jr., O.D.

  • Optometrist
  • Klamath Falls, OR
National Provider Identifier
1447219977
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2714AT Issued in OR
Practice address
2640 Biehn St
Klamath Falls, OR 97601-1181
Phone
(541) 884-3148
Fax
(541) 884-3373
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2714AT OR Primary

Addresses

Primary practice location

2640 Biehn St
Klamath Falls, OR 97601-1181

Mailing address

2615 Almond St
Klamath Falls, OR 97601-1176
Phone (541) 883-3688

Other identifiers 5

IdentifierTypeStateIssuer
XSD000820OtherORMEDI-CAL
A006OtherORTRICARE
004571006OtherORBCBS
295420MedicaidOR
410038543OtherORRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20040901001044 OR Practitioner - Optometry 2163497165 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2714ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Klamath Ophthalmology PC Optometrist Current Accepting new patients
Klamath Ophthalmology PC Optometrist CurrentSince Jan 19, 1999 Accepting new patients
Klamath Ophthalmology PC Optometrist CurrentSince Jan 19, 1999 Accepting new patients

Locations

2640 Biehn St
Klamath Falls, OR 97601
Phone (541) 205-6890

2615 Almond St
Klamath Falls, OR 97601
Phone (541) 883-3688

2640 Biehn St
Ste 3
Klamath Falls, OR 97601
Phone (541) 884-3148

629 Main St
Klamath Falls, OR 97601
Phone (541) 884-3148

Organizations & group practices 3

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523577600000",
    "number": "1447219977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 ALMOND ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011176",
            "telephone_number": "541-883-3688",
            "fax_number": "541-883-3687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 BIEHN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011181",
            "telephone_number": "541-884-3148",
            "fax_number": "541-884-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUHY",
        "first_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2018-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2714AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "XSD000820",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "A006",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "004571006",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295420",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410038543",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.