Organization Active NPI

Dr Daniel J Hyduchak OD PC

Doing business as Newport Vision Center

  • Optometrist
  • Newport, OR
National Provider Identifier
1801155437
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OR3027ATI Issued in OR
Legal business name
DR DANIEL J HYDUCHAK OD PC
Doing business as
Newport Vision Center
Practice address
914 SW Hurbert St
Newport, OR 97365-4715
Phone
(541) 265-2020
Fax
(541) 265-8988
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Dr. Daniel James Hyduchak, O.D.
Title
Owner/Optometrist
Phone
(541) 265-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OR3027ATI OR Primary

Addresses

Primary practice location

914 SW Hurbert St
Newport, OR 97365-4715

Mailing address

914 SW Hurbert St
Newport, OR 97365-4715
Phone (541) 265-2020

Other names 1

  • NEWPORT VISION CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120725000942 OR Part B Supplier - Clinic/Group Practice 4183880743 Receives reassigned benefits from 1 practitioner
Practice locations: Newport, OR

National Provider Directory

National Provider Directory

Locations

914 SW Hurbert St
Newport, OR 97365
Phone (541) 265-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1801155437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 SW HURBERT ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654715",
            "telephone_number": "541-265-2020",
            "fax_number": "541-265-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 SW HURBERT ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654715",
            "telephone_number": "541-265-2020",
            "fax_number": "541-265-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DANIEL J HYDUCHAK OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "HYDUCHAK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "541-265-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OR",
            "license": "OR3027ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWPORT VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, OR

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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.