Active NPI
Douglas John Garbig, O.D.
- Optometrist
- Wilder, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1108DT
- Practice address
- 1400 Gloria Terrell Dr
Suite H
Wilder, KY 41076-9188 - Phone
- (859) 441-3400
- Fax
- (859) 572-4822
- NPI assigned
- Apr 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1108DT | KY | Primary |
| Vision Therapy Optometrist | 152WV0400X | 1108DT | KY |
Addresses
Primary practice location
1400 Gloria Terrell Dr
Suite H
Wilder, KY 41076-9188
Mailing address
1400 Gloria Terrell Dr
Suite H
Wilder, KY 41076-9188
Phone (859) 441-3400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77011088 | Medicaid | KY | |
| 000000184811 | Other | KY | ANTHEM PIN # |
| 0004395284 | Other | KY | AETNA |
| 410042536 | Other | KY | MEDICARE RAILROAD RETIREMENT BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 Gloria Terrell Dr
Suite H
Wilder, KY 41076-9189
1400 Gloria Terrell Dr H
Wilder, KY 41076-9189
Phone (859) 441-3400
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.56 of 100
- Quality
- 85.13
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 46 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1108DT | KY | MD | Optometrist |
| 1108 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garbig Family Eye Care PSC | Optometrist | Current | Accepting new patients |
Locations
92 Alexandria Pike
Fort Thomas, KY 41075
Phone (859) 441-3400
1400 Gloria Terrell Dr
Wilder, KY 41076
Phone (859) 781-2800
1400 Gloria Terrell Dr
Ste H
Wilder, KY 41076
Phone (859) 441-3400
Interoperability endpoints
- dgarbig.keca@direct.ocuhub.com
- douglasgarbig@direct.revolutionehr.com
Organizations & group practices 1
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.
-
- Optometrist
- Wilder, KY
- NPI 1467734657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1104883636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 GLORIA TERRELL DR",
"address_2": "SUITE H",
"city": "WILDER",
"state": "KY",
"postal_code": "410769188",
"telephone_number": "859-441-3400",
"fax_number": "859-572-4822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 GLORIA TERRELL DR",
"address_2": "SUITE H",
"city": "WILDER",
"state": "KY",
"postal_code": "410769188",
"telephone_number": "859-441-3400",
"fax_number": "859-572-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBIG",
"first_name": "DOUGLAS",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-27",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1108DT",
"primary": true
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "KY",
"license": "1108DT",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77011088",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN #",
"identifier": "000000184811",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004395284",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD RETIREMENT BOARD",
"identifier": "410042536",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilder, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.