Provider Demographics
NPI:1114238607
Name:HUGHES, HEIDI ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:ANN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:HEIDI
Other - Middle Name:ANN
Other - Last Name:PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:8850 W 58TH AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2248
Mailing Address - Country:US
Mailing Address - Phone:719-576-1850
Mailing Address - Fax:719-955-3470
Practice Address - Street 1:8850 W 58TH AVE
Practice Address - Street 2:STE 100
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-2248
Practice Address - Country:US
Practice Address - Phone:303-421-8990
Practice Address - Fax:303-421-9402
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2826152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO843238851Medicaid
COOPT.0002826OtherCO OPTOMETRY LICENSE
NVDO413ZMedicare PIN
NV4682730002Medicare NSC