Active NPI
Dr.H.Hubbard and Associates, P.C.
- Optometrist
- Indianapolis, IN
National Provider Identifier
1265441448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 56000242A
- Legal business name
- DR.H.HUBBARD AND ASSOCIATES, P.C.
- Practice address
- 4020 Lafayette Rd
Indianapolis, IN 46254-2506 - Phone
- (317) 293-9314
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hurst Hubbard, O.D.
- Title
- President
- Phone
- (317) 293-9314
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 56000242A | IN | Primary |
Addresses
Primary practice location
4020 Lafayette Rd
Indianapolis, IN 46254-2506
Mailing address
4020 Lafayette Rd
Indianapolis, IN 46254-2506
Phone (317) 293-9314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200349550 A | Medicaid | IN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410220800000",
"number": "1265441448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 LAFAYETTE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462542506",
"telephone_number": "317-293-9314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4020 LAFAYETTE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462542506",
"telephone_number": "317-293-9314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR.H.HUBBARD AND ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2014-09-09",
"status": "A",
"authorized_official_last_name": "HUBBARD",
"authorized_official_first_name": "HURST",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "317-293-9314",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IN",
"license": "56000242A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200349550 A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.