Individual provider Active NPI

Marla Jane Husz, O.D.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1891766515
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
867 Issued in AZ
Practice address
4730 E Pima St
Tucson, AZ 85712-3521
Phone
(520) 795-3956
Fax
(520) 318-3431
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 867 AZ Primary
Corneal and Contact Management Optometrist 152WC0802X 867 AZ

Addresses

Primary practice location

4730 E Pima St
Tucson, AZ 85712-3521

Mailing address

4730 E Pima St
Tucson, AZ 85712-3521
Phone (520) 795-3956

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20111114000847 AZ Practitioner - Optometry 1153402557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edmonds, Husz and Pemberton Eye CenterGroup PAC ID 5991785768, 4 clinicians

Practice addresses (Care Compare)

4730 E Pima St
Tucson, AZ 85712-3521
Phone (520) 795-3956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
867AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Edmonds, Husz & Pemberton Eye Center Optometrist CurrentSince Jul 1, 1999 Accepting new patients

Locations

4730 E Pima St
Tucson, AZ 85712
Phone (520) 795-3956

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1891766515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123521",
            "telephone_number": "520-795-3956",
            "fax_number": "520-318-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123521",
            "telephone_number": "520-795-3956",
            "fax_number": "520-318-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSZ",
        "first_name": "MARLA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "867",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AZ",
            "license": "867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.