NPIMap

Organization Active NPI

Joseph M Hibler OD PC Inc

  • Optometrist
  • Marshall, MI
National Provider Identifier
1578720538
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002965 Issued in MI
Legal business name
JOSEPH M HIBLER OD PC INC
Practice address
15865 W Michigan Ave
Marshall, MI 49068-9578
Phone
(269) 781-6644
Fax
(269) 781-0130
NPI assigned
May 19, 2008
Last updated
Feb 19, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Joseph M. Hibler, O.D.NPI 1225054356
Title
Owner
Phone
(269) 781-6644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4901002965 MI Primary

Addresses

Primary practice location

15865 W Michigan Ave
Marshall, MI 49068-9578

Mailing address

15865 W Michigan Ave
Marshall, MI 49068
Phone (269) 781-6644

Other identifiers 2

IdentifierTypeStateIssuer
900A36510OtherMIBLUE CROSS BLUE SHIELD
2813656MedicaidMI

National Provider Directory

National Provider Directory

Locations

15865 W Michigan Ave
Marshall, MI 49068
Phone (269) 781-6644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1578720538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15865 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "49068",
            "telephone_number": "269-781-6644",
            "fax_number": "269-781-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15865 W MICHIGAN AVE",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689578",
            "telephone_number": "269-781-6644",
            "fax_number": "269-781-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH M HIBLER OD PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "HIBLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-781-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "900A36510",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2813656",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.