Individual provider Active NPI

John Robert Hickox, MD

  • Ophthalmology Physician
  • Albuquerque, NM
National Provider Identifier
1619140027
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD2013-0203 Issued in NM
Practice address
303 Mulberry St NE
Albuquerque, NM 87106-4739
Phone
(505) 243-9739
Fax
(505) 842-0650
NPI assigned
Apr 7, 2008
Last updated
May 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD2013-0203 NM Primary

Addresses

Primary practice location

303 Mulberry St NE
Albuquerque, NM 87106-4739

Mailing address

303 Mulberry St NE
Albuquerque, NM 87106-4739
Phone (505) 243-9739

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000874 NM Practitioner - Ophthalmology 4284876160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

303 Mulberry St NE
Albuquerque, NM 87106-4739
Phone (505) 243-9739

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD2013-0203NMMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care/Children's Eye Center of New Mexico, P.C. Ophthalmology CurrentSince Jul 15, 2013 Accepting new patients

Locations

303 Mulberry St NE
Albuquerque, NM 87106
Phone (505) 243-9739

303 Mulberry St NE
Ste D
Albuquerque, NM 87106
Phone (505) 243-9739

Interoperability endpoints

  • Direct secure messaging: jhickox@familyeyecarecenter.direct.eyemdemr.com

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, 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": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369353600000",
    "number": "1619140027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MULBERRY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064739",
            "telephone_number": "505-243-9739",
            "fax_number": "505-842-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 MULBERRY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064739",
            "telephone_number": "505-243-9739",
            "fax_number": "505-842-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKOX",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2013-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "MD2013-0203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.