Active NPI
Peter Favreau Hughes, O.D.
- Optometrist
- Tallahassee, FL
National Provider Identifier
1942378807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC001932
- Practice address
- 1535 Centerville Rd
Tallahassee, FL 32308-4605 - Phone
- (850) 877-7695
- Fax
- (850) 671-4243
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC001932 | FL | Primary |
Addresses
Primary practice location
1535 Centerville Rd
Tallahassee, FL 32308-4605
Mailing address
1625 Copperfield Cir
Tallahassee, FL 32312-3753
Phone (850) 894-3029
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078428100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090609000459 | FL | Practitioner - Optometry | 2769532928 | Practice locations: Tallahassee, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1932 | FL | MD | Clinical Social Worker |
| 1050 | GA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942378807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 COPPERFIELD CIR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323123753",
"telephone_number": "850-894-3029",
"fax_number": "850-671-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1535 CENTERVILLE RD",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084605",
"telephone_number": "850-877-7695",
"fax_number": "850-671-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "PETER",
"middle_name": "FAVREAU",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC001932",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078428100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.