Individual provider Active NPI

Timothy Hobbs, O.D.

  • Optometrist
  • Paducah, KY
National Provider Identifier
1366721318
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1855DT Issued in KY
Practice address
1130 Lone Oak Road
Paducah, KY 42003
Phone
(270) 415-0245
Fax
(270) 415-0248
NPI assigned
Aug 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1855DT KY Primary

Addresses

Primary practice location

1130 Lone Oak Road
Paducah, KY 42003

Mailing address

1130 Lone Oak Road
Paducah, KY 42003-4540
Phone (270) 415-0245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110825000783 KY Practitioner - Optometry 9638349855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barbara Bowers MD PLLCGroup PAC ID 3274661483, 5 clinicians

Practice addresses (Care Compare)

1130 Lone Oak Rd
Paducah, KY 42003-4525
Phone 2704150245202

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1855DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Eye Surgery Center, PLLC CurrentSince Apr 21, 2019 Accepting new patients
Barbara Bowers, MD, PLLC Optometrist CurrentSince Sep 1, 2011 Accepting new patients
Dr. Robert F Hailey, DPM PSC Past Accepting new patients

Locations

1130 Lone Oak Rd
Paducah, KY 42003
Phone (270) 415-0245

1130 Lone Oak Rd
Ste B
Paducah, KY 42003
Phone (270) 415-0245

Interoperability endpoints

  • Direct secure messaging: thobbs@innovativeophthalmology.emadirect.md

Organizations & group practices 3

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1366721318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 LONE OAK ROAD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420034540",
            "telephone_number": "270-415-0245",
            "fax_number": "270-415-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 LONE OAK ROAD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "42003",
            "telephone_number": "270-415-0245",
            "fax_number": "270-415-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "TIMOTHY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1855DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.