NPIMap

Organization Active NPI

Hiscox Optometry P.L.L.C.

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1215247184
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1643 Issued in AZ
Legal business name
HISCOX OPTOMETRY P.L.L.C.
Doing business as
Jacob Hiscox, OD
Practice address
7402 E Broadway Blvd
Tucson, AZ 85710-1411
Phone
(520) 885-2052
Fax
(520) 886-7488
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Dr. Jacob Wyley Hiscox, O.D.NPI 1811140643
Title
Member
Phone
(520) 885-2052

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 1643 AZ Primary

Addresses

Primary practice location

7402 E Broadway Blvd
Tucson, AZ 85710-1411

Mailing address

7402 E Broadway Blvd
Tucson, AZ 85710-1411
Phone (520) 885-2052

Other names 1

  • Jacob Hiscox, OD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101206001207 AZ Part B Supplier - Clinic/Group Practice 4880881606 Receives reassigned benefits from 3 practitioners
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

8456 E Broadway Blvd
Tucson, AZ 85710
Phone (520) 795-4202

Practitioners & affiliated clinicians

Practitioners 3

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": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1215247184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101411",
            "telephone_number": "520-885-2052",
            "fax_number": "520-886-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101411",
            "telephone_number": "520-885-2052",
            "fax_number": "520-886-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISCOX OPTOMETRY P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "HISCOX",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "WYLEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-885-2052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob Hiscox, OD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacob Hiscox, OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.