Active NPI
Hubbell Eye Clinic, S.C.
- Optometrist
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1672
- Legal business name
- HUBBELL EYE CLINIC, S.C.
- Practice address
- 2130 Brackett Ave
Suite a
Eau Claire, WI 54701-4927 - Phone
- (715) 832-7489
- Fax
- (715) 830-5452
- NPI assigned
- Dec 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris L Hubbell, O.D.
- Title
- President
- Phone
- (715) 832-7489
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1672 | WI | Primary |
Addresses
Primary practice location
2130 Brackett Ave
Suite a
Eau Claire, WI 54701-4927
Mailing address
2130 Brackett Ave
Suite a
Eau Claire, WI 54701-4927
Phone (715) 832-7489
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38968 | Other | WI | SECURITY HEALTH PLAN |
| 38509900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hubbell Eye Clinic SC | Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
2130 Brackett Ave
Ste A
Eau Claire, WI 54701
Phone (715) 832-7489
2130 Brackett Ave
Eau Claire, WI 54701
Phone (715) 832-2292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Eau Claire, WI
- NPI 1962561787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234224000000",
"number": "1457410276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 BRACKETT AVE",
"address_2": "SUITE A",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014927",
"telephone_number": "715-832-7489",
"fax_number": "715-830-5452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 BRACKETT AVE",
"address_2": "SUITE A",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547014927",
"telephone_number": "715-832-7489",
"fax_number": "715-830-5452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUBBELL EYE CLINIC, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-07",
"last_updated": "2009-02-10",
"status": "A",
"authorized_official_last_name": "HUBBELL",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "715-832-7489",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "WI",
"license": "1672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURITY HEALTH PLAN",
"identifier": "38968",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38509900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.