Active NPI
Rebecca Jane Hub, O.D.
- Optometrist
- Walkersville, MD
National Provider Identifier
1043212467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA1125
- Practice address
- 8415 Woodsboro Pike
A-C
Walkersville, MD 21793-8305 - Phone
- (301) 898-3000
- Fax
- (301) 845-4324
- NPI assigned
- Aug 15, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA1125 | MD | Primary |
Addresses
Primary practice location
8415 Woodsboro Pike
A-C
Walkersville, MD 21793-8305
Mailing address
8415 Woodsboro Pike
A-C
Walkersville, MD 21793-8305
Phone (301) 898-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA1125 | MD | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1043212467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 WOODSBORO PIKE",
"address_2": "A-C",
"city": "WALKERSVILLE",
"state": "MD",
"postal_code": "217938305",
"telephone_number": "301-898-3000",
"fax_number": "301-845-4324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 WOODSBORO PIKE",
"address_2": "A-C",
"city": "WALKERSVILLE",
"state": "MD",
"postal_code": "217938305",
"telephone_number": "301-898-3000",
"fax_number": "301-845-4324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUB",
"first_name": "REBECCA",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-15",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA1125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Walkersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.