Active NPI
John P Huard OD PLLC
- Optometrist
- Port Angeles, WA
National Provider Identifier
1972797587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3184TX
- Legal business name
- JOHN P HUARD OD PLLC
- Practice address
- 901 S Lincoln St
Port Angeles, WA 98362-7848 - Phone
- (360) 452-2020
- Fax
- (360) 457-1686
- NPI assigned
- Aug 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Paul Huard, OD
- Title
- Single Member PLLC
- Phone
- (360) 452-2020
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3184TX | WA | Primary |
| Eyewear Supplier | 332H00000X | 3184TX | WA |
Addresses
Primary practice location
901 S Lincoln St
Port Angeles, WA 98362-7848
Mailing address
901 S Lincoln St
Port Angeles, WA 98362-7848
Phone (360) 452-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017713 | Medicaid | WA | |
| P00160655 | Other | WA | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
228 W 1st St
Ste V
Port Angeles, WA 98362
Phone (360) 452-2020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1293408000000",
"number": "1972797587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S LINCOLN ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983627848",
"telephone_number": "360-452-2020",
"fax_number": "360-457-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S LINCOLN ST",
"city": "PORT ANGELES",
"state": "WA",
"postal_code": "983627848",
"telephone_number": "360-452-2020",
"fax_number": "360-457-1686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN P HUARD OD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-28",
"last_updated": "2010-12-27",
"status": "A",
"authorized_official_last_name": "HUARD",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "SINGLE MEMBER PLLC",
"authorized_official_telephone_number": "360-452-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WA",
"license": "3184TX",
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "WA",
"license": "3184TX",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2017713",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00160655",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Port Angeles, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.