Organization Active NPI

The Optometry Group, PLLC

  • Optometrist
  • Norton, VA
National Provider Identifier
1194812008
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001562 Issued in VA
Legal business name
THE OPTOMETRY GROUP, PLLC
Practice address
608 Trent St NE
Norton, VA 24273-1532
Phone
(276) 679-0536
Fax
(206) 279-9117
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Gary C. Hubbard, O.D.NPI 1841249828
Title
Owner
Phone
(276) 679-0536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001562 VA Primary

Addresses

Primary practice location

608 Trent St NE
Norton, VA 24273-1532

Mailing address

608 Trent St NE
Norton, VA 24273-1532
Phone (276) 679-0536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061020000281 VA Part B Supplier - Clinic/Group Practice 1658377338 Receives reassigned benefits from 2 practitioners
Practice locations: Norton, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2174461The Optometry Group608 Trent St SW, Norton, VA 24273Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory

Locations

608 Trent St NE
Norton, VA 24273
Phone (276) 679-0536

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1194812008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 TRENT ST NE",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731532",
            "telephone_number": "276-679-0536",
            "fax_number": "206-279-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 TRENT ST NE",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731532",
            "telephone_number": "276-679-0536",
            "fax_number": "206-279-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTOMETRY GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-679-0536",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.