John E Dubicki, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3288 Issued in WA

Practice address

1417 Queen Anne Ave N
Suite D
Seattle, WA 98109-5748

Phone

(206) 284-8852

Fax

(206) 284-8736

NPI assigned

Jul 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• City Eye Care, Inc.

  • Optometrist
  • Seattle, WA
  • NPI 1104064187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386668390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 QUEEN ANNE AVE N",
            "address_2": "SUITE D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095748",
            "telephone_number": "206-284-8852",
            "fax_number": "206-284-8736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 QUEEN ANNE AVE N",
            "address_2": "SUITE D",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095748",
            "telephone_number": "206-284-8852",
            "fax_number": "206-284-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBICKI",
        "first_name": "JOHN",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "3288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marianne Emmanuelle Dubard-Gault, M.D.
• Josie Dubberke
• Herbert C Duber, MD/MPH
• Archana Dubey
• Ishita Dubey, MD
• Krista Dubin, MD
• Rebecca Dubin, MA, BSN, RN
• Theodore J Dubinsky, MD
• Dominique Dubois
• Jayne Dubois, ND

• Optometrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.