Tiffany Rose Humes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901004672 Issued in MI

Practice address

1116 W Ganson St
Jackson, MI 49202-4240

Phone

(877) 852-8463

Fax

(517) 782-5166

NPI assigned

Jun 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Pennsylvania College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thumes218766@direct.hfhs.org

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.

• Pcor LLC

  • Optometrist
  • Troy, MI
  • NPI 1720033343
  Medicare reassignment Care Compare group NPD
• West Point Optical Group

  • Optometrist
  • Novi, MI
  • NPI 1831548890
  Medicare reassignment
• P-Cor, LLC

  • Optometrist
  • Commerce Township, MI
  • NPI 1821481078
  NPD
• Pcor, LLC

  • Optometrist
  • Troy, MI
  • NPI 1801122460
  NPD
• Mid Michigan Eye Care Center, PC

  • Ophthalmology Physician
  • Jackson, MI
  • NPI 1649275041

  Optometrist

  NPD (past)
• West Point Optical Group

  • Optometrist
  • Ann Arbor, MI
  • NPI 1073983698
  NPD (past)

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1922360650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 W GANSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024240",
            "telephone_number": "877-852-8463",
            "fax_number": "517-782-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 W GANSON ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492024240",
            "telephone_number": "877-852-8463",
            "fax_number": "517-782-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMES",
        "first_name": "TIFFANY",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004672",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901004672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellerie Kate Hughes
• Maurice Randolph Hughes, HEARING AID DEALER
• Hugs of Love LLC
• Jessica Hull
• Naseer Humayun, M.D.
• Osha Humphrey, CNM
• Robert George Hunt, FNP
• Spenser Hunt
• Luke Hunter
• Gabrielle E Hurley

• Optometrist in Jackson, MI
• Providers in Jackson, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.