Active NPI
Brent Michael Hume, OD
- Optometrist
- Agana Heights, GU
National Provider Identifier
1679003420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18004023A
- Practice address
- Farenholt Ave, BLDG 50
Agana Heights, GU 96910 - Phone
- (317) 627-4101
- NPI assigned
- Jun 14, 2017
- Last updated
- Feb 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18004023A | IN | Primary |
Addresses
Primary practice location
Farenholt Ave, BLDG 50
Agana Heights, GU 96910
Mailing address
PSC 455 Box 208
Fpo, AP 96540-0003
Phone (317) 627-4101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18004023A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University | Optometrist | Past | Accepting new patients |
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, 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": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1679003420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "MIL",
"address_1": "PSC 455 BOX 208",
"city": "FPO",
"state": "AP",
"postal_code": "965400003",
"telephone_number": "317-627-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "FARENHOLT AVE, BLDG 50",
"city": "AGANA HEIGHTS",
"state": "GU",
"postal_code": "96910",
"telephone_number": "317-627-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUME",
"first_name": "BRENT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18004023A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Agana Heights, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.