Jason Wayne Hull

Primary specialty

OptometristTaxonomy code 152W00000X

License

PA OEG000291 Issued in PA

Practice address

200 Millcreek PLZ
Erie, PA 16565-1102

Phone

(814) 864-4858

Fax

(814) 864-0398

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

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

Illinois College of Optometry at Chicago, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Art of Eyecare PCGroup PAC ID 3173588191, 5 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.

• Art of Eyecare, PC

  • Optometrist
  • Hermitage, PA
  • NPI 1629156823
  Medicare reassignment Care Compare group NPD
• Jason Hull OD LLC

  dba Jason Hull OD & Associates

  • Optometrist
  • Greenville, PA
  • NPI 1699324400
  NPD Authorized official
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340582400000",
    "number": "1790865665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 HENDERSONVILLE RD",
            "city": "SANDY LAKE",
            "state": "PA",
            "postal_code": "161453419",
            "telephone_number": "724-376-3785",
            "fax_number": "814-864-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MILLCREEK PLZ",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165651102",
            "telephone_number": "814-864-4858",
            "fax_number": "814-864-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "JASON",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "PA OEG000291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAT'L VISION ADMIN (NVA)",
            "identifier": "397164",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "376280",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Huff, DO
• Jay B Huff, CRNA
• Huffman Family Chiropractic, LLC
• John Daniel Huffman, DC
• Bret Thomas Hulick, DO
• Darshan Hullon, DO
• Ashlyn Hulse, DC
• Elyssa Hulse, OTR
• Richard Eugene Hulse Jr., DC
• Victoria Alexis Hulse, DC

• Optometrist in Erie, PA
• Providers in Erie, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2012; 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.