Individual provider Active NPI

Adrian N Hulbert, O.D.

  • Optometrist
  • Travis Afb, CA
National Provider Identifier
1396151767
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004837 Issued in MI
Practice address
60 MDG/Sgpe
101 Bodin Circle
Travis Afb, CA 94535
Phone
(707) 423-7171
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004837 MI Primary

Addresses

Primary practice location

60 MDG/Sgpe
101 Bodin Circle
Travis Afb, CA 94535

Mailing address

101 Bodin Cir
Travis Afb, CA 94535-1809

Other practice location 1

301 Center St
North Muskegon, MI 49445-3104
Phone (231) 739-9009

Other practice location 2

221 3rd St W
Randolph AFB, TX 78150-4800
Phone (210) 652-5526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20200608002645 MI Practitioner - Optometry 4688893266 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004837MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey B. Byland, O.D., P.C. CurrentSince Jan 14, 2021 Accepting new patients
Deborah Osborne, O.D., PLLC Optometrist CurrentSince Aug 1, 2020 Accepting new patients

Locations

103 S Division Ave
Fremont, MI 49412
Phone (231) 924-0430

504 E Colby St
Whitehall, MI 49461
Phone (231) 894-2488

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1396151767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MDG/SGPE",
            "address_2": "101 BODIN CIRCLE",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "94535",
            "telephone_number": "707-423-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Center St",
            "address_purpose": "LOCATION",
            "city": "North Muskegon",
            "state": "MI",
            "postal_code": "494453104",
            "country_code": "US",
            "telephone_number": "231-739-9009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 3rd St W",
            "address_purpose": "LOCATION",
            "city": "Randolph AFB",
            "state": "TX",
            "postal_code": "781504800",
            "country_code": "US",
            "telephone_number": "210-652-5526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "ADRIAN",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Travis Afb, CA

Sources for this page

Verify at the official NPI Registry.