Organization Active NPI

Michael K. Hughes, OD, LLC

  • Optometrist
  • Gillette, WY
National Provider Identifier
1447406269
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
129-T Issued in WY
Legal business name
MICHAEL K. HUGHES, OD, LLC
Practice address
1103 E Boxelder Rd
Suite F
Gillette, WY 82718-5582
Phone
(307) 682-2747
Fax
(307) 686-9984
NPI assigned
Aug 12, 2008
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Michael K. Hughes, O. D.NPI 1346210531
Title
Optometrist
Phone
(307) 682-2747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 129-T WY Primary

Addresses

Primary practice location

1103 E Boxelder Rd
Suite F
Gillette, WY 82718-5582

Mailing address

1103 E Boxelder Rd
Suite F
Gillette, WY 82718-5582
Phone (307) 682-2747

Other identifiers 1

IdentifierTypeStateIssuer
115074000MedicaidWY

National Provider Directory

National Provider Directory

Locations

1103 E Boxelder Rd
Ste F
Gillette, WY 82718
Phone (307) 682-2747

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1447406269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E BOXELDER RD",
            "address_2": "SUITE F",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185582",
            "telephone_number": "307-682-2747",
            "fax_number": "307-686-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E BOXELDER RD",
            "address_2": "SUITE F",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185582",
            "telephone_number": "307-682-2747",
            "fax_number": "307-686-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K. HUGHES, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "307-682-2747",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "129-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115074000",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.