Individual provider Active NPI

Kevin M. Huff, O.D.

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1497856900
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1378 Issued in AZ
Practice address
2450 E Beardsley Rd
Phoenix, AZ 85050-1300
Phone
(602) 482-1200
Fax
(602) 482-1212
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1378 AZ Primary

Addresses

Primary practice location

2450 E Beardsley Rd
Phoenix, AZ 85050-1300

Mailing address

2450 E Beardsley Rd
Phoenix, AZ 85050-1300
Phone (602) 482-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240307001154 AZ Practitioner - Optometry 7618943424 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Kevin Huff & Associates PLLC Optometrist CurrentSince Jan 29, 2024 Accepting new patients
Carlos L Grandela O.D. PLC Low Vision Rehabilitation Past Accepting new patients

Locations

2450 E Beardsley Rd
Phoenix, AZ 85050
Phone (480) 375-2878

Organizations & group practices 2

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1497856900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E BEARDSLEY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501300",
            "telephone_number": "602-482-1200",
            "fax_number": "602-482-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E BEARDSLEY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850501300",
            "telephone_number": "602-482-1200",
            "fax_number": "602-482-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFF",
        "first_name": "KEVIN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.