Gregory N Hubertus, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3032 Issued in WI

Practice address

550 N Military Ave
Ste 10
Green Bay, WI 54303-4569

Phone

(920) 498-2020

Fax

(920) 498-2269

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wisconsin Vision, LLCGroup PAC ID 5698676518, 27 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Wisconsin Vision, LLC

  • Optometrist
  • New Berlin, WI
  • NPI 1134179427
  Medicare reassignment Care Compare group NPD
• Wisconsin Vision, LLC

  • Optometrist
  • Brookfield, WI
  • NPI 1457890220
  NPD
• Wisconsin Vision, LLC

  • Optometrist
  • Elm Grove, WI
  • NPI 1962540120
  NPD
• Eggert & Eggert LLC

  • Optometrist
  • Kiel, WI
  • NPI 1013041912
  NPD (past)
• Eggert & Eggert LLC

  • Optometrist
  • Green Bay, WI
  • NPI 1639189442
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1003834250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MILITARY AVE",
            "address_2": "STE 10",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034569",
            "telephone_number": "920-498-2020",
            "fax_number": "920-498-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MILITARY AVE",
            "address_2": "STE 10",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543034569",
            "telephone_number": "920-498-2020",
            "fax_number": "920-498-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERTUS",
        "first_name": "GREGORY",
        "middle_name": "N",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher E Howson, M.D.
• Krysten Hoy
• David J Hoyer, M.D.
• Kathleen J Hren, RD
• Kai Huang, M.D.
• Dennis Michael Hudson, MD
• Paul A Hudson, MD
• Timothy R Hudson, CRNA
• Melissa Lynn Hudspeth, NP-C
• Janeen M Hudzinski, M.D.

• Optometrist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.