NPIMap

Organization Active NPI

Alex Hutzell, O.D.,P.C.

  • Optometrist
  • Klamath Falls, OR
National Provider Identifier
1982329595
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ALEX HUTZELL, O.D.,P.C.
Practice address
2424 Shasta Way
Klamath Falls, OR 97601-4354
Phone
(541) 882-2812
Fax
(541) 882-5075
NPI assigned
Oct 5, 2022
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Dr. Alexandria Hutzell, O.D.NPI 1891318093
Title
Owner
Phone
(707) 218-8127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2424 Shasta Way
Klamath Falls, OR 97601-4354

Mailing address

2424 Shasta Way
Klamath Falls, OR 97601-4354
Phone (541) 882-2812

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230607001476 OR Part B Supplier - Clinic/Group Practice 6103283122 Receives reassigned benefits from 2 practitioners
Practice locations: Klamath Falls, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1982329595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 SHASTA WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014354",
            "telephone_number": "541-882-2812",
            "fax_number": "541-882-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 SHASTA WAY",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976014354",
            "telephone_number": "541-882-2812",
            "fax_number": "541-882-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX HUTZELL, O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "HUTZELL",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-218-8127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.