Kenneth N. Hubbard Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2093 Issued in AR

Practice address

519 N Willow St
Harrison, AR 72601-3518

Phone

(870) 741-2787

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AR

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

Southern College of Optometry, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sabre Ayers Wright OD PLLCGroup PAC ID 9931478674, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Sabre Ayers Wright, OD PLLC

  • Optometrist
  • Harrison, AR
  • NPI 1568999225
  Medicare reassignment Care Compare group NPD
• Sabre Ayers Wright, OD PLLC

  • Optometrist
  • Marshall, AR
  • NPI 1487180253
  NPD

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1417950353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2417",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726022417",
            "telephone_number": "870-741-2787",
            "fax_number": "870-741-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N WILLOW ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013518",
            "telephone_number": "870-741-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "KENNETH",
        "middle_name": "N.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLCR AND OTHER ID NUMBER",
            "identifier": "48784",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC",
            "identifier": "5C405",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Horton
• Courtney Hower-Kreul, D.C.
• Chen I Huang, M.D.
• Hubbard Eye Clinic
• Brandy Nicole Hubbard, PHARMD
• Robert Hubbard, DDS
• Amy Hudson, SLP
• Christie Hudson, MHPP
• Alison Leah Humphrey, M.D.
• Basil Todd Hunt

• Optometrist in Harrison, AR
• Providers in Harrison, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.