Individual provider Active NPI

Jeffrey D Hixenbaugh, OD

  • Optometrist
  • Palm Beach Gardens, FL
National Provider Identifier
1508919192
Registry record updated Sep 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2588 Issued in FL
Practice address
3101 Pga Blvd.
Suite A101
Palm Beach Gardens, FL 33410
Phone
(561) 627-8185
Fax
(561) 627-6456
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 2588 FL Primary

Addresses

Primary practice location

3101 Pga Blvd.
Suite A101
Palm Beach Gardens, FL 33410

Mailing address

3101 Pga Blvd.
Suite A101
Palm Beach Gardens, FL 33410
Phone (561) 627-8185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101011000062 FL Practitioner - Optometry 3476678178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Jeffrey D. Hixenbaugh, O.D., P.a.Group PAC ID 1850416553, 3 clinicians

Practice addresses (Care Compare)

3101 Pga Blvd
A101
Palm Beach Gardens, FL 33410-2812

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 2588FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey D. Hixenbaugh, O.D., P.a. Optometrist CurrentSince May 3, 2010 Accepting new patients

Locations

3101 Pga Blvd
Ste A101
Palm Beach Gardens, FL 33410
Phone (561) 627-8185

Organizations & group practices 1

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189814400000",
    "number": "1508919192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 PGA BLVD.",
            "address_2": "SUITE A101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-627-8185",
            "fax_number": "561-627-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PGA BLVD.",
            "address_2": "SUITE A101",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "33410",
            "telephone_number": "561-627-8185",
            "fax_number": "561-627-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXENBAUGH",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Beach Gardens, FL

Sources for this page

Verify at the official NPI Registry.