Individual provider Active NPI

Douglas John Garbig, O.D.

  • Optometrist
  • Wilder, KY
National Provider Identifier
1104883636
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1108DT Issued in KY
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

Updated by the provider on Dec 3, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
77011088MedicaidKY
000000184811OtherKYANTHEM PIN #
0004395284OtherKYAETNA
410042536OtherKYMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071210000164 KY Practitioner - Optometry 1557458171 Reassigns benefits to 1 organization

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
Garbig Family Eye Care PSCGroup PAC ID 4183882418, 2 clinicians

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 100Reported as individual
Quality
85.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1108DTKYMDOptometrist
1108KYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Garbig Family Eye Care PSC Optometrist CurrentSince Jan 8, 2012 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

  • Direct secure messaging: dgarbig.keca@direct.ocuhub.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.