Active NPI
Tonya R. Hubbard, OD
- Optometrist
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 942
- Practice address
- 18601 Wedge Parkway Suite 2C
Reno, NV 89511 - Phone
- (775) 358-1020
- Fax
- (775) 358-7951
- NPI assigned
- May 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 256T | WY | |
| Optometrist | 152W00000X | 2069 | CO | |
| Optometrist | 152W00000X | 3585AT | OR | |
| Optometrist | 152W00000X | 942 | NV | Primary |
Addresses
Primary practice location
18601 Wedge Parkway Suite 2C
Reno, NV 89511
Mailing address
1965 Baring Blvd
Sparks, NV 89434
Phone (775) 358-1020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54185351 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, NV, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1715 Kuenzli St
Reno, NV 89502-1117
Phone (775) 329-5162
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2069 | CO | MD | Dental Hygienist |
| 3585AT | OR | MD | Optometrist |
| 256T | WY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reno Sparks Indian Colony | Current | Accepting new patients | |
| Coffman Vision Clinic Inc | Optometrist | Current | Accepting new patients |
| Michelle Wong Optometry PC | Optometrist | Current | Accepting new patients |
Locations
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
9700 S McCarran Blvd
Reno, NV 89523
Phone (775) 746-8884
1715 Kuenzli St
Reno, NV 89502
Phone (775) 329-5162
18601 Wedge Pkwy
Ste 2C
Reno, NV 89511
Phone (775) 358-1020
1965 Baring Blvd
Sparks, NV 89434
Phone (775) 358-1020
61535 S Highway 97
Ste 16
Bend, OR 97702
Phone (541) 389-4774
Organizations & group practices 4
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.
-
- Optometrist
- Bend, OR
- NPI 1811064967
-
- Optometrist
- Reno, NV
- NPI 1780233460
-
- Optometrist
- Reno, NV
- NPI 1376125351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703721600000",
"number": "1275580896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1965 BARING BLVD",
"city": "SPARKS",
"state": "NV",
"postal_code": "89434",
"telephone_number": "775-358-1020",
"fax_number": "775-358-7951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18601 WEDGE PARKWAY SUITE 2C",
"city": "RENO",
"state": "NV",
"postal_code": "89511",
"telephone_number": "775-358-1020",
"fax_number": "775-358-7951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "TONYA",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-28",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WY",
"license": "256T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "2069",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3585AT",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54185351",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.