MR. ALLAN JAY HUDSON (OD) – Optometrist, NPI 1639122526

MR. ALLAN JAY HUDSON (OD) is a healthcare provider. based in Prineville, Oregon. specializing in Optometrist. They hold the professional credentials OD. They hold a License No. 1541AT (OR). The NPI Number for MR. ALLAN JAY HUDSON (OD) is 1639122526

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALLAN JAY HUDSON (OD)
NPI
1639122526
Phone
(541) 416-2020
Address
340 NW BEAVER ST
Enumeration Date
19 May 2006
Last Update Date
20 May 2019

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5419232221
Graduation Year
1981 (45 years ago)
PAC ID
7719973510
Group Practice PAC ID
6901892801
Professional Enrollment ID
I20040427000144
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. ALLAN JAY HUDSON (OD)

  • 340, Northwest Beaver Street, Prineville, Crook County, Oregon, 97754, United States

    PRINEVILLE, OR 977541836

    Phone: (541) 416-2020

    Fax: (541) 447-2608

    Type: Mailing

  • 404, Northwest 5th Street, Redmond, Deschutes County, Oregon, 97756, United States

    REDMOND, OR 977561627

    Phone: (541) 923-2221

    Fax: (541) 923-3776

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $367.

Total Amount is formed as General ($367) + Research ($0) + Ownership ($0) = $367.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: LKC Technologies, Inc. ($208).

Total Amount

$367

General + Research + Ownership

Payments

6

Total payment records

General Amount

$367

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040427000144IOptometryORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97754)

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Provider's Procedures

MR. ALLAN JAY HUDSON (OD) performs procedures in Optometrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYOR92134Diagnostic imaging of retina4335
OPTOMETRYOR92083Measurement of field of vision during daylight conditions3834

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901892801View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR

Reviews

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Frequently asked questions

What is MR. ALLAN JAY HUDSON (OD)'s NPI number?
MR. ALLAN JAY HUDSON (OD)'s NPI is 1639122526 — the number used across U.S. healthcare to identify this provider.
Is MR. ALLAN JAY HUDSON (OD) still an active registrant?
MR. ALLAN JAY HUDSON (OD) carries an active NPI according to the public dataset.
What expertise is attributed to MR. ALLAN JAY HUDSON (OD)?
MR. ALLAN JAY HUDSON (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is MR. ALLAN JAY HUDSON (OD) associated with Prineville?
Public fields place MR. ALLAN JAY HUDSON (OD) around Prineville, Oregon. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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