Individual provider Active NPI

Michael M. Hilbert, O.D.

  • Optometrist
  • Fort Morgan, CO
National Provider Identifier
1598920548
Registry record updated Jan 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2657 Issued in CO
Practice address
718 E Platte Ave
Fort Morgan, CO 80701-3620
Phone
(970) 867-3342
Fax
(970) 867-7751
NPI assigned
Jul 18, 2008
Last updated
Jan 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2657 CO Primary

Addresses

Primary practice location

718 E Platte Ave
Fort Morgan, CO 80701-3620

Mailing address

718 E Platte Ave
Fort Morgan, CO 80701-3620
Phone (970) 867-3342

Other identifiers 1

IdentifierTypeStateIssuer
01130030MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20081201000059 CO Practitioner - Optometry 3173683737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

718 E Platte Ave
Fort Morgan, CO 80701-3620
Phone (970) 867-3342

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2657COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael M. Hilbert, O.D., P.C. Optometrist CurrentSince Sep 19, 2008 Accepting new patients
Marc S Walker OD PC Optometrist Past Accepting new patients

Locations

718 E Platte Ave
Fort Morgan, CO 80701
Phone (970) 867-3342

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231372800000",
    "number": "1598920548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 E PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013620",
            "telephone_number": "970-867-3342",
            "fax_number": "970-867-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 E PLATTE AVE",
            "city": "FORT MORGAN",
            "state": "CO",
            "postal_code": "807013620",
            "telephone_number": "970-867-3342",
            "fax_number": "970-867-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILBERT",
        "first_name": "MICHAEL",
        "middle_name": "M.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2009-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01130030",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Morgan, CO

Sources for this page

Verify at the official NPI Registry.