Benjamin T Hubbard Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

603 Issued in MS

Practice address

260 Power Dr
Batesville, MS 38606

Phone

(662) 563-5533

Fax

(662) 563-0777

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

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

Southern College of Optometry, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Benjamin T Hubbard Jr

  • Durable Medical Equipment & Medical Supplies
  • Batesville, MS
  • NPI 1275792046

  Optometrist

  NPD Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1073622106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 POWER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386063010",
            "telephone_number": "662-563-5533",
            "fax_number": "662-563-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 POWER DR",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "38606",
            "telephone_number": "662-563-5533",
            "fax_number": "662-563-0777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 E Main St",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386682138",
            "country_code": "US",
            "telephone_number": "662-562-5500",
            "fax_number": "662-562-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "BENJAMIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880063",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heavenly Hands Staffing, LLC
• Amber K Helps
• Larry Windell Herring, DDS
• Kristina Lynn Hintzsche, CRNA
• Thomas William Hodge, D.M.D.
• Benjamin T Hubbard III
• Autumn Hughes
• Xaviera Marie Humphrey
• Clark Hunt, NCC
• Cora Hunter

• Optometrist in Batesville, MS
• Providers in Batesville, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.