Individual provider Active NPI

Andrew Albert Huttenhoff, O.D.

  • Corneal and Contact Management Optometrist
  • Tucson, AZ
National Provider Identifier
1992718662
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT-002329 Issued in AZ
Practice address
5599 N Oracle Rd
Tucson, AZ 85704-3821
Phone
(520) 293-6740
Fax
(520) 293-6771
NPI assigned
Aug 14, 2006
Last updated
Jul 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 12305 T CA
Corneal and Contact Management Optometrist 152WC0802X OPT-002329 AZ Primary

Addresses

Primary practice location

5599 N Oracle Rd
Tucson, AZ 85704-3821

Mailing address

5599 N Oracle Rd
Tucson, AZ 85704-3821
Phone (520) 293-6740

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20190526000023 AZ Practitioner - Optometry 4082642566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5599 N Oracle Rd
Tucson, AZ 85704-3821
Phone 5202936740103

Merit-based Incentive Payment System (MIPS)

Final score
93.09 of 100Reported as group
Quality
99.7
Improvement activities
40
Cost
77.38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12305 TCAMDCorneal and Contact Management Optometrist
12305CAMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Eye Specialists L L C CurrentSince May 13, 2019 Accepting new patients
Northwest Eye Specialists,PLLC CurrentSince May 13, 2019 Accepting new patients
Ronald M Watson, OD, Inc Optometrist Past Accepting new patients
Northwest Eye Specialists L L C Past Accepting new patients
Ronald M Watson, OD, Inc Optometrist Past Accepting new patients

Locations

10425 N Oracle Rd
Ste 135
Tucson, AZ 85737
Phone 5202936740103

5599 N Oracle Rd
Tucson, AZ 85704
Phone (520) 293-6740

Interoperability endpoints

  • Direct secure messaging: andrew.huttenhoff.p1@direct.eyestucson.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1992718662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5599 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043821",
            "telephone_number": "520-293-6740",
            "fax_number": "520-293-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5599 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043821",
            "telephone_number": "520-293-6740",
            "fax_number": "520-293-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTENHOFF",
        "first_name": "ANDREW",
        "middle_name": "ALBERT",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "12305 T",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AZ",
            "license": "OPT-002329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.