Gary Ty Huber, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2967 Issued in MN

Practice address

2711 Commerce Dr NW
Suite 100
Rochester, MN 55901-2262

Phone

(773) 802-5829

NPI assigned

Feb 13, 2007

Last updated

Aug 15, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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.

• Huber Eyecare, Inc.

  dba Huber Eyecare

  • Optometrist
  • Rochester, MN
  • NPI 1003008632
  Authorized official Same address or phone
• Huber Eyecare, Inc.

  dba Huber Eyecare

  • Optometrist
  • Rochester, MN
  • NPI 1003095118
  NPD (past) Authorized official
• Southland Eye Associates PC

  • Optometrist
  • Olympia Fields, IL
  • NPI 1790851806
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187136000000",
    "number": "1447392709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 13TH AVE NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011639",
            "telephone_number": "773-802-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 COMMERCE DR NW",
            "address_2": "SUITE 100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012262",
            "telephone_number": "773-802-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "GARY",
        "middle_name": "TY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily J. Hubbard, PA-C
• Joleen M Hubbard, MD
• Ryan James Hubbard
• Huber Eyecare, Inc. (Huber Eyecare)
• Huber Eyecare, Inc. (Huber Eyecare)
• Jill Marie Huber, M.D.
• Stevan K Huber, LICSW
• Tori Mae Huber, CNP
• Yasmin Lee Hubert
• Kindall Hubka

• Optometrist in Rochester, MN
• Providers in Rochester, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.