NPIMap

Organization Active NPI

Dr. Daniel J Hyduchak, OD, PC

  • Optometrist
  • Newport, OR
National Provider Identifier
1629497979
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3027ATI Issued in OR
Legal business name
DR. DANIEL J HYDUCHAK, OD, PC
Doing business as
newport vision center
Practice address
914 SW Hurbert St
Newport, OR 97365-4715
Phone
(541) 265-2020
Fax
(541) 265-8988
NPI assigned
Apr 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Laurie Ann Smith
Title
Office Manager
Phone
(541) 265-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3027ATI OR Primary

Addresses

Primary practice location

914 SW Hurbert St
Newport, OR 97365-4715

Mailing address

914 SW Hurbert St
Newport, OR 97365-4715
Phone (541) 265-2020

Other names 1

  • newport vision center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1629497979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 SW HURBERT ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654715",
            "telephone_number": "541-265-2020",
            "fax_number": "541-265-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 SW HURBERT ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654715",
            "telephone_number": "541-265-2020",
            "fax_number": "541-265-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DANIEL J HYDUCHAK, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-15",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-265-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3027ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "newport vision center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.