Individual provider Active NPI

Dan R Host, O.D.

  • Optometrist
  • Huntington, IN
National Provider Identifier
1508814435
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001796 Issued in IN
Practice address
518 N Jefferson St
Huntington, IN 46750-2747
Phone
(260) 356-4322
Fax
(260) 356-4326
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001796 IN Primary

Addresses

Primary practice location

518 N Jefferson St
Huntington, IN 46750-2747

Mailing address

518 N Jefferson St
Huntington, IN 46750-2747
Phone (260) 356-4322

Other identifiers 1

IdentifierTypeStateIssuer
100138000MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041022001085 IN Practitioner - Optometry 7315908241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18001796INMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Evans Eye Care Inc Optometrist CurrentSince Jan 18, 2023 Accepting new patients

Locations

518 N Jefferson St
Huntington, IN 46750
Phone (260) 356-4322

1221 S Creasy Ln
Ste A
Lafayette, IN 47905
Phone (765) 447-4951

3526 Osborne Ln
Lafayette, IN 47909
Phone (765) 447-4951

Organizations & group practices 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387324800000",
    "number": "1508814435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 N JEFFERSON ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467502747",
            "telephone_number": "260-356-4322",
            "fax_number": "260-356-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 N JEFFERSON ST",
            "city": "HUNTINGTON",
            "state": "IN",
            "postal_code": "467502747",
            "telephone_number": "260-356-4322",
            "fax_number": "260-356-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOST",
        "first_name": "DAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138000",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, IN

Sources for this page

Verify at the official NPI Registry.