Active NPI
Ronald Huebsch, OD
- Optometrist
- Princeton, MN
National Provider Identifier
1689665705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1783
- Practice address
- 523 1St St
Princeton, MN 55371-1603 - Phone
- (763) 389-3150
- Fax
- (763) 389-0664
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 1783 | MN | Primary |
Addresses
Primary practice location
523 1St St
Princeton, MN 55371-1603
Mailing address
523 1St St
Princeton, MN 55371-1603
Phone (763) 389-3150
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2115731 | Other | MN | MEDICA MATERIALS |
| 2202702 | Other | MN | MEDICA HEALTH CARE PLAN |
| 5C026HU | Other | BC/BS (MATERIALS) | |
| 960380688001 | Other | PREFERRED ONE | |
| 4676 | Other | HEALTH PARTNERS | |
| 52393HU | Other | BLUE CROSS/BLUE SHIELD | |
| 584823700 | Medicaid | MN | |
| 115240 | Other | MN | U-CARE |
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 |
|---|---|---|---|
| 1783 | MN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1689665705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "523 1ST ST",
"city": "PRINCETON",
"state": "MN",
"postal_code": "553711603",
"telephone_number": "763-389-3150",
"fax_number": "763-389-0664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 1ST ST",
"city": "PRINCETON",
"state": "MN",
"postal_code": "553711603",
"telephone_number": "763-389-3150",
"fax_number": "763-389-0664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEBSCH",
"first_name": "RONALD",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MN",
"license": "1783",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA MATERIALS",
"identifier": "2115731",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA HEALTH CARE PLAN",
"identifier": "2202702",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS (MATERIALS)",
"identifier": "5C026HU",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "960380688001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "4676",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "52393HU",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "584823700",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U-CARE",
"identifier": "115240",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.