Active NPI
Chris Huxtable, LDO, ABOC, NCLEC
- Optician
- Pittsfield, MA
National Provider Identifier
1699469627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 6862
- Practice address
- 555 Hubbard Ave Ste 12
Pittsfield, MA 01201-3841 - Phone
- (413) 442-2734
- Fax
- (413) 442-2811
- NPI assigned
- Jun 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 028.0133171 | VT | |
| Optician | 156FX1800X | 6862 | MA | Primary |
Addresses
Primary practice location
555 Hubbard Ave Ste 12
Pittsfield, MA 01201-3841
Mailing address
555 Hubbard Ave Ste 12
Pittsfield, MA 01201-3841
Phone (413) 442-2734
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028.0133171 | VT | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1699469627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 HUBBARD AVE STE 12",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012013841",
"telephone_number": "413-442-2734",
"fax_number": "413-442-2811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 HUBBARD AVE STE 12",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012013841",
"telephone_number": "413-442-2734",
"fax_number": "413-442-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUXTABLE",
"first_name": "CHRIS",
"credential": "LDO, ABOC, NCLEC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "VT",
"license": "028.0133171",
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "6862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.