Individual provider Active NPI

Judy Jackson Hughes, O.D.

  • Optometrist
  • College Station, TX
National Provider Identifier
1245481464
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5179T Issued in TX
Practice address
1815 Brothers Blvd
College Station, TX 77845-5413
Phone
(979) 695-6400
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5179T TX Primary

Addresses

Primary practice location

1815 Brothers Blvd
College Station, TX 77845-5413

Mailing address

4509 Warwick LN
Bryan, TX 77802-5665
Phone (512) 586-3611

Other names 1

  • Judy Dianne Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090305000335 TX Practitioner - Optometry 6507922150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pineywoods Eye Associates P aGroup PAC ID 0648312363, 3 clinicians

Practice addresses (Care Compare)

4729 NE Stallings Dr
Nacogdoches, TX 75965-1607
Phone (936) 564-2634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5179TXMDBehavioral Analyst
5179TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pineywoods Eye Associates P a Optometrist CurrentSince Dec 13, 2024 Accepting new patients
Brazos Valley Eyecare PLLC Optometrist CurrentSince May 1, 2021 Accepting new patients
Pineywoods Eye Associates P a Optometrist CurrentSince Dec 13, 2024 Accepting new patients

Locations

1500 Harvey Rd
Ste 7000
College Station, TX 77840
Phone (979) 693-7528

4729 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 564-2634

Organizations & group practices 3

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1245481464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 WARWICK LN",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025665",
            "telephone_number": "512-586-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 BROTHERS BLVD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455413",
            "telephone_number": "979-695-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JUDY",
        "middle_name": "JACKSON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5179T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "JACKSON",
            "middle_name": "DIANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.