Individual provider Active NPI

Rebecca Elaine Hutchins, O.D.

  • Optometrist
  • Longmont, CO
National Provider Identifier
1508962390
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1254 Issued in CO
Practice address
6800 N 79TH St
Suite 101
Longmont, CO 80503-7042
Phone
(303) 652-0505
Fax
(303) 652-0606
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1254 CO Primary
Vision Therapy Optometrist 152WV0400X 1254 CO

Addresses

Primary practice location

6800 N 79TH St
Suite 101
Longmont, CO 80503-7042

Mailing address

6800 N 79TH St
Suite 101
Longmont, CO 80503-7042
Phone (303) 652-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 17, 2016 through Nov 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1254COMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1508962390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 N 79TH ST",
            "address_2": "SUITE 101",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037042",
            "telephone_number": "303-652-0505",
            "fax_number": "303-652-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N 79TH ST",
            "address_2": "SUITE 101",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805037042",
            "telephone_number": "303-652-0505",
            "fax_number": "303-652-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHINS",
        "first_name": "REBECCA",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1254",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "1254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.