Organization Active NPI

John P Huard OD PLLC

  • Optometrist
  • Port Angeles, WA
National Provider Identifier
1972797587
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3184TX Issued in WA
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

Updated by the provider on Dec 27, 2010

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2017713MedicaidWA
P00160655OtherWARAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.