Organization Active NPI

Edward J Huggett Jr OD PA

  • Low Vision Rehabilitation Optometrist
  • Sun City Center, FL
National Provider Identifier
1629237466
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
OPC2447 Issued in FL
Legal business name
EDWARD J HUGGETT JR OD PA
Doing business as
HUGGETT VISION THERAPY INSTITUTE
Practice address
4051 Upper Creek Dr
Suite 107
Sun City Center, FL 33573-6825
Phone
(813) 634-2266
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Dr. Edward Joseph Huggett Jr., O.D.NPI 1760415905
Title
President
Phone
(727) 789-0199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X OPC2447 FL Primary

Addresses

Primary practice location

4051 Upper Creek Dr
Suite 107
Sun City Center, FL 33573-6825

Mailing address

3608 Rock Royal Dr
Holiday, FL 34691-1133
Phone (727) 789-0199

Other identifiers 2

IdentifierTypeStateIssuer
078857100MedicaidFL
20231OtherFLBLUE CROSS BLUE SHIELD OF FLORIDA

Other names 1

  • HUGGETT VISION THERAPY INSTITUTE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080606000133 FL Part B Supplier - Clinic/Group Practice 2365511136 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Harbor, FL

National Provider Directory

National Provider Directory

Locations

2595 Tampa Rd
Ste R
Palm Harbor, FL 34684
Phone (727) 784-1269

4051 Upper Creek Dr
Ste 107
Sun City Center, FL 33573
Phone (813) 634-2266

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1629237466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 ROCK ROYAL DR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346911133",
            "telephone_number": "727-789-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4051 UPPER CREEK DR",
            "address_2": "SUITE 107",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736825",
            "telephone_number": "813-634-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J HUGGETT JR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "HUGGETT",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-789-0199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "FL",
            "license": "OPC2447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078857100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "20231",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HUGGETT VISION THERAPY INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City Center, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.