Individual provider Active NPI

Jonathan Edward Hebda, O.D

  • Optometrist
  • Crossroads, TX
National Provider Identifier
1295963924
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7373TG Issued in TX
Practice address
11700 US Highway 380
Crossroads, TX 76227-8200
Phone
(214) 538-6511
NPI assigned
Jul 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7373TG TX Primary

Addresses

Primary practice location

11700 US Highway 380
Crossroads, TX 76227-8200

Mailing address

11700 US Highway 380
Crossroads, TX 76227-4642
Phone (940) 488-5133

Other practice location 1

2301 Porter Creek Dr Ste 217
Fort Worth, TX 76177-2339
Phone (817) 847-7747

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
I20100723000048 TX Practitioner - Optometry 6709918949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focusing on Eye Care IncGroup PAC ID 2264681394, 2 clinicians
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1101 Melbourne Rd
Suite 3002
Hurst, TX 76053-6225
Phone (817) 284-0798

1829 Martin Dr
Suite 200
Weatherford, TX 76086-6381
Phone (817) 594-2311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7373TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Apr 28, 2024 Accepting new patients
Village Vision Center, PLLC Optometrist CurrentSince Dec 1, 2019 Accepting new patients
Focusing on Eye Care, Inc. Optometrist CurrentSince Jan 1, 2015 Accepting new patients
Vision Expo Group PLLC Optometrist CurrentSince May 22, 2010 Accepting new patients
Pope Enterprises PLLC Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Dianne Bui Dao OD PC Optometrist PastSince Apr 24, 2011 Accepting new patients
20/20 Icare and Iwear, PLLC Optometrist PastSince Mar 8, 2018 Accepting new patients

Locations

4605 S Cooper St
Arlington, TX 76017
Phone (817) 557-9595

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12320 Barker Cypress Rd
Ste 400
Cypress, TX 77429
Phone (281) 373-1020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

2301 Porter Creek Dr
Ste 217
Fort Worth, TX 76177
Phone (817) 847-7580

1102 S Friendswood Dr
Ste A
Friendswood, TX 77546
Phone (281) 482-0066

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

2300 Highland Village Rd
Ste 200
Highland Vlg, TX 75077
Phone (972) 317-3888

1101 Melbourne Rd
Ste 3002
Hurst, TX 76053
Phone (817) 284-0798

3837 Irving Mall
Irving, TX 75062
Phone (972) 255-6123

2705 Broadway St
Ste 115
Pearland, TX 77581
Phone (281) 485-2020

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

1829 Martin Dr
Ste 200
Weatherford, TX 76086
Phone (817) 594-2311

Interoperability endpoints

  • Direct secure messaging: jonathan.hebda@uprisedirect.com

Organizations & group practices 8

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": "1246406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1295963924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11700 US HIGHWAY 380",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762274642",
            "telephone_number": "940-488-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11700 US HIGHWAY 380",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762278200",
            "telephone_number": "214-538-6511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2301 Porter Creek Dr Ste 217",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761772339",
            "country_code": "US",
            "telephone_number": "817-847-7747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBDA",
        "first_name": "JONATHAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-01",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7373TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossroads, TX

Sources for this page

Verify at the official NPI Registry.