Active NPI
Jeffrey D Hixenbaugh, OD
- Optometrist
- Palm Beach Gardens, FL
National Provider Identifier
1508919192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 2588
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1991
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 2588 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey D. Hixenbaugh, O.D., P.a. | Optometrist | Current | 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.
-
- Optometrist
- Palm Beach Gardens, FL
- NPI 1235279019
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.