Individual provider Active NPI

Sandra J Hufsmith, MD

  • Ophthalmology Physician
  • Corvallis, OR
National Provider Identifier
1659489771
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD13089 Issued in OR
Practice address
2294 NW Kings Blvd
Corvallis, OR 97330-3923
Phone
(541) 754-1415
Fax
(541) 754-9848
NPI assigned
Aug 28, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD13089 OR Primary

Addresses

Primary practice location

2294 NW Kings Blvd
Corvallis, OR 97330-3923

Mailing address

2294 NW Kings Blvd
Corvallis, OR 97330-3923
Phone (541) 754-1415

Other identifiers 6

IdentifierTypeStateIssuer
212391OtherORHEALTHNET
212391OtherORCIGNA
268375MedicaidOR
E039801OtherORPACIFICSOURCE
R0000BHQHMOtherORMEDICARE ID-PIN
90085816OtherORPACIFICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141202000461 ID Practitioner - Ophthalmology 5294819108 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Associates, P.a. Ophthalmology CurrentSince Oct 24, 2015 Accepting new patients
Jensen Eye Associates PLLC Ophthalmology CurrentSince Nov 1, 2014 Accepting new patients

Locations

2620 S Eagle Rd
Meridian, ID 83642
Phone (208) 342-5151

1615 12th Ave Rd
Ste A
Nampa, ID 83686
Phone (208) 467-3271

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1659489771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2294 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303923",
            "telephone_number": "541-754-1415",
            "fax_number": "541-754-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2294 NW KINGS BLVD",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973303923",
            "telephone_number": "541-754-1415",
            "fax_number": "541-754-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFSMITH",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD13089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "212391",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "212391",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268375",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICSOURCE",
            "identifier": "E039801",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-PIN",
            "identifier": "R0000BHQHM",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "90085816",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.