Individual provider Active NPI

Catherine Bach Hough, OD

  • Optometrist
  • Tallahassee, FL
National Provider Identifier
1639606155
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5373 Issued in FL
Practice address
3535 Apalachee Pkwy
Tallahassee, FL 32311-5330
Phone
(850) 219-0788
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5373 FL Primary

Addresses

Primary practice location

3535 Apalachee Pkwy
Tallahassee, FL 32311-5330

Mailing address

3535 Apalachee Pkwy
Tallahassee, FL 32311-5330
Phone (850) 219-0788

Other practice location 1

2120 Apalachee Pkwy
Tallahassee, FL 32301-4819
Phone (850) 309-0389

Other practice location 2

1500 Apalachee Pkwy
Tallahassee, FL 32301-3055
Phone (850) 942-6335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200123001497 FL Practitioner - Optometry 0446685341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susan S Whaley OD LLCGroup PAC ID 0547536468, 4 clinicians

Practice addresses (Care Compare)

2858 Mahan Dr
Suite 4
Tallahassee, FL 32308-5472
Phone (850) 216-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5373FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Susan S Whaley OD LLC Optometrist CurrentSince Feb 1, 2020 Accepting new patients
Susan S Whaley OD LLC Optometrist CurrentSince Feb 1, 2020 Accepting new patients

Locations

2858 Mahan Dr
Ste 4
Tallahassee, FL 32308
Phone (850) 216-2020

Organizations & group practices 2

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": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1639606155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 APALACHEE PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323115330",
            "telephone_number": "850-219-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 APALACHEE PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323115330",
            "telephone_number": "850-219-0788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Apalachee Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323014819",
            "country_code": "US",
            "telephone_number": "850-309-0389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Apalachee Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323013055",
            "country_code": "US",
            "telephone_number": "850-942-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOUGH",
        "first_name": "CATHERINE",
        "middle_name": "BACH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.