Pete Chris Kevin Huffman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1952 Issued in GA

Practice address

80 Seven Hills Blvd
BLD 200
Dallas, GA 30132-0574

Phone

(678) 324-4211

Fax

(678) 324-4216

NPI assigned

Jan 17, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

New England College of Optometry, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Huffman Family Eye Care PCGroup PAC ID 3577625169, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Huffman Family Eye Care PC

  • Optometrist
  • Dallas, GA
  • NPI 1467607523
  Medicare reassignment Care Compare group NPD
• Bolt Eye Group-East Cobb LLC

  • Optometrist
  • Marietta, GA
  • NPI 1548996754
  NPD (past)
• Eye to Eye Vision Center

  • Corneal and Contact Management Optometrist
  • Marietta, GA
  • NPI 1780654483
  NPD (past)

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1679759849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SEVEN HILLS BLVD",
            "address_2": "BLD 200",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320574",
            "telephone_number": "678-324-4211",
            "fax_number": "678-324-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 SEVEN HILLS BLVD",
            "address_2": "BLD 200",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320574",
            "telephone_number": "678-324-4211",
            "fax_number": "678-324-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "PETE",
        "middle_name": "CHRIS KEVIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Davis Howell, M.D.
• Tara Huddleston, MS, LPC
• Sydney Hudson
• Carol Huff, LCSW
• Huffman Family Eye Care PC
• Carrell Hughes, M.A., CCC-SLP
• Lydia Hulsey
• Quanita Huntley
• Kimberly Hunton, PHARMD, MBA, MSHA
• Christina Hyndman

• Optometrist in Dallas, GA
• Providers in Dallas, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.