Individual provider Active NPI

Julia Lee Hibbing, OD

  • Optometrist
  • Iowa City, IA
National Provider Identifier
1316430481
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
091928 Issued in IA
Practice address
1638 Sycamore St
Iowa City, IA 52240-6044
Phone
(319) 337-3737
Fax
(319) 365-9500
NPI assigned
Jun 12, 2018
Last updated
Jan 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 091928 IA Primary

Addresses

Primary practice location

1638 Sycamore St
Iowa City, IA 52240-6044

Mailing address

1638 Sycamore St
Iowa City, IA 52240-6044
Phone (319) 337-3737

Other practice location 1

576 Boyson Rd NE Ste 104
Cedar Rapids, IA 52402-7363
Phone (319) 373-3737

Other names 1

  • Dr. Julia Lee Hibbing Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20180626001515 IA Practitioner - Optometry 1658626098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Mt Vernon Eye Clinic PLCGroup PAC ID 2567353485, 4 clinicians

Practice addresses (Care Compare)

202 Glenn St SE
Mount Vernon, IA 52314-1588
Phone (319) 895-8888

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery60

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091928IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mt Vernon Eye Clinic PLC Optometrist CurrentSince Jan 19, 2022 Accepting new patients

Locations

202 Glenn St SE
Mount Vernon, IA 52314
Phone (319) 895-8888

Interoperability endpoints

  • Direct secure messaging: jh@mcdonaldoptic.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1316430481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 SYCAMORE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406044",
            "telephone_number": "319-337-3737",
            "fax_number": "319-365-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 SYCAMORE ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522406044",
            "telephone_number": "319-337-3737",
            "fax_number": "319-365-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "576 Boyson Rd NE Ste 104",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524027363",
            "country_code": "US",
            "telephone_number": "319-373-3737",
            "fax_number": "319-365-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIBBING",
        "first_name": "JULIA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "091928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "HIBBING",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.