Individual provider Active NPI

Janice C Huet, O.D.

  • Optometrist
  • Bridgeville, PA
National Provider Identifier
1629048475
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000305 Issued in PA
Practice address
1155 Washington Pike
Suite 77
Bridgeville, PA 15017-2827
Phone
(412) 221-7007
Fax
(412) 220-8163
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000305 PA Primary

Addresses

Primary practice location

1155 Washington Pike
Suite 77
Bridgeville, PA 15017-2827

Mailing address

1155 Washington Pike
Suite 77
Bridgeville, PA 15017-2827
Phone (412) 221-7007

Other identifiers 1

IdentifierTypeStateIssuer
01905940MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080703000546 PA Practitioner - Optometry 7517039753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huet Eye Associates PCGroup PAC ID 5294627550, 2 clinicians

Practice addresses (Care Compare)

1373 Washington Pike
Suite 100
Bridgeville, PA 15017-2837
Phone (412) 221-7007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000305PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Huet Eye Associates PC Optometrist CurrentSince Aug 1, 2002 Accepting new patients

Locations

1155 Washington Pike
Ste 77
Bridgeville, PA 15017
Phone (412) 221-7007

1373 Washington Pike
Ste 100
Bridgeville, PA 15017

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1629048475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 WASHINGTON PIKE",
            "address_2": "SUITE 77",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172827",
            "telephone_number": "412-221-7007",
            "fax_number": "412-220-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 WASHINGTON PIKE",
            "address_2": "SUITE 77",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150172827",
            "telephone_number": "412-221-7007",
            "fax_number": "412-220-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUET",
        "first_name": "JANICE",
        "middle_name": "C",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01905940",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.