Scott M Hibbets OD PC Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

2562 Issued in OK

Legal business name

SCOTT M HIBBETS OD PC CORP

Practice address

433 Stone Wood Dr
Broken Arrow, OK 74012-1026

Phone

(918) 520-0930

NPI assigned

Sep 20, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Scott Martin Hibbets, O.D.NPI 1215193776

Title

Optometrist

Phone

(918) 520-0930

Specialties & licenses 1

Addresses

Other names 1

• Stonewood Vision Source Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott Martin Hibbets, O.D.

  • Optometrist
  • Broken Arrow, OK
  • NPI 1215193776
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1253404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253404800000",
    "number": "1508190893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 STONE WOOD DR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 STONE WOOD DR",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121026",
            "telephone_number": "918-520-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT M HIBBETS OD PC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-20",
        "last_updated": "2009-09-20",
        "status": "A",
        "authorized_official_last_name": "HIBBETS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "918-520-0930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stonewood Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Jean Schroeder, RN
• Schumann Family Chiropractic
• Jeff G. Schumann, D.C.
• Alyssa Schurle
• Hannah Schwartzer, DC
• Makenna Lee Scott
• Mezyuneh Angelique Scott
• Michael James Scott, D.O.
• Mina Scott
• Tiffany Lee Scott, MS

• Optometrist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.