DR. JAY MICHAEL HUBER (NPI# 1811424724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811424724 |
| Entity Type | Individual |
| Full Name | DR. JAY MICHAEL HUBER |
| Credential | OD |
| Practice Address |
10024 Se 240th St Ste 220 Kent WA 98031-5124 |
| Practice Telephone | 5328525440 |
| Practice Fax Number | 2538520272 |
| Mailing Telephone | 5328525440 |
| Mailing Fax Number | 2538520272 |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD60769647 | WA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194753731 | Jay R Huber | Internal Medicine | 515 E Broadway, Bismarck, ND 58501 | 2006-06-30 |
| Street Address |
10024 SE 240TH ST STE 220 |
| City | KENT |
| State | WA |
| Zip Code | 98031-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043325 | Deanna Lila Fuller | Technician | 21417 122nd Place Se, Kent, WA 98031 | 2019-09-26 |
| 1386092054 | Amninder Ripsy Nagra-kaur | Licensed Practical Nurse | 10016 Se 218th Pl, Kent, WA 98031 | 2016-06-02 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| 1578951281 | Katherine Mitchell | Counselor | 12400 Se 233rd St, Kent, WA 98031 | 2015-01-03 |
| 1376804997 | San Lwai | Internal Medicine | 20040 - 120th Ave S.e., Kent, WA 98031 | 2012-05-30 |
| 1013106822 | Fiorella Andrea Diaz | Interpreter | 20029 104th Place Se, Kent, WA 98031 | 2007-10-17 |
| 1750599361 | Northwest Transport | Non-emergency Medical Transport (VAN) | 22627 85th Pl S, Kent, WA 98031 | 2007-05-18 |
| 1750596953 | Rhonda H. James | Licensed Practical Nurse | 21252 94th Pl. S, Kent, WA 98031 | 2007-05-11 |
| 1124172846 | Jeffrey W Baxter | Counselor | 10024 Se 240th, Suite 116 James Street Building, Kent, WA 98031 | 2007-01-22 |
| 1043398407 | Option 1 Northwest Enteral LLC | Durable Medical Equipment & Medical Supplies | 8633 South 212th Street, Kent, WA 98031 | 2006-11-02 |
| Find all providers in zip 98031 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544101 | Destiny Nicole Mccoy | Optometrist | 19400 108th Ave Se Ste 202, Kent, WA 98031-0108 | 2020-09-25 |
| 1225681638 | Yena Kim-hall | Optometrist | 443 Ramsay Way Apt 320, Kent, WA 98032-5013 | 2019-07-24 |
| 1124470026 | Jonathan Nguyen Dong | Optometrist | 10725 Se 256th St Ste 4, Kent, WA 98030 | 2016-07-05 |
| 1396978060 | Christina A Isaman | Optometrist | 3975 Cascades Blvd, Suite 18, Kent, OH 44240-8053 | 2009-08-28 |
| 1972731099 | Kent Eyecare, LLC | Optometrist | 5 Kent Green Blvd, Kent, CT 06757-0307 | 2009-06-26 |
| 1679601512 | Benson Vision Source, Inc. | Optometrist | 25022 104th Ave Se Ste D, Kent, WA 98030-2822 | 2007-03-01 |
| 1699801886 | Alexandra Gelt | Optometrist | 8009 S 180th St Ste 104, Kent, WA 98032-1042 | 2007-02-24 |
| 1396893608 | Shauna Mazzulla | Optometrist | 420 W Smith St, Suite 105, Kent, WA 98032-4423 | 2007-01-05 |
| 1164590030 | Edward Lawrence Jones | Optometrist | 601 W Gowe St, Kent, WA 98032-5745 | 2006-11-30 |
| 1649377516 | Arthur Bing Lum Jr. | Optometrist | 11120 Se Kent Kangley Rd, Kent, WA 98030-7708 | 2006-09-20 |
| Find all providers in KENT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.