Organization Active NPI

Gerard H Hubbell OD PA

  • Optometrist
  • Lakeland, FL
National Provider Identifier
1316059926
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1386 Issued in FL
Legal business name
GERARD H HUBBELL OD PA
Practice address
924 S Florida Ave
Lakeland, FL 33803-1116
Phone
(863) 688-6197
Fax
(863) 688-7508
NPI assigned
Aug 31, 2006
Last updated
Nov 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Ms. Laura Alvarez
Title
Office Manager
Phone
(863) 688-6197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC1386 FL Primary

Addresses

Primary practice location

924 S Florida Ave
Lakeland, FL 33803-1116

Mailing address

924 S Florida Ave
Lakeland, FL 33803-1116
Phone (863) 688-6197

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1316059926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031116",
            "telephone_number": "863-688-6197",
            "fax_number": "863-688-7508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031116",
            "telephone_number": "863-688-6197",
            "fax_number": "863-688-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERARD H HUBBELL OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "863-688-6197",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.