Individual
MICHAEL K. HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O. D.
Contact information
Practice address
1103 E. BOXELDER RD., SUITE F, GILLETTE, WY 82718-5582
(307) 682-2747
(307) 686-9984
Mailing address
1103 E BOXELDER RD, SUITE F, GILLETTE, WY 82718-5582
(307) 682-2747
(307) 686-9984
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
129 T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115074000
—
WY
01
—
1346210531
INDIVIDUAL NPI
WY
01
—
1447406269
BUSINESS NPI
WY
01
—
W22043
MEDICARE BUSINESS PTAN
WY
01
—
W22044
MEDICARE INDIVIDUAL PTAN
WY
Enumeration date
01/23/2006
Last updated
11/14/2016
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