Individual provider Active NPI

Gregory Paul Hubbard, O.D.

  • Optometrist
  • Kokomo, IN
National Provider Identifier
1194924043
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003471A Issued in IN
Practice address
1808 E Markland Ave
Kokomo, IN 46901-6234
Phone
(765) 457-8900
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003471A IN Primary

Addresses

Primary practice location

1808 E Markland Ave
Kokomo, IN 46901-6234

Mailing address

918 S Maple St
Greentown, IN 46936-1666
Phone (765) 661-6848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070823000900 IN Practitioner - Optometry 0547352395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1808 E Markland Ave
Kokomo, IN 46901-6234
Phone (765) 457-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003471AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hubbard Vision Care, LLC Optometrist CurrentSince Aug 9, 2010 Accepting new patients

Locations

1808 E Markland Ave
Kokomo, IN 46901
Phone (765) 457-8900

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1194924043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 S MAPLE ST",
            "city": "GREENTOWN",
            "state": "IN",
            "postal_code": "469361666",
            "telephone_number": "765-661-6848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 E MARKLAND AVE",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469016234",
            "telephone_number": "765-457-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "GREGORY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003471A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.