Individual provider Active NPI

Gregory A Hively, O.D.

  • Optometrist
  • Moody, AL
National Provider Identifier
1619968385
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S945TA510 Issued in AL
Practice address
2603 Moody Pkwy
Moody, AL 35004-3027
Phone
(205) 640-2020
Fax
(205) 640-2025
NPI assigned
Nov 2, 2005
Last updated
Dec 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S945TA510 AL Primary

Addresses

Primary practice location

2603 Moody Pkwy
Moody, AL 35004-3027

Mailing address

PO Box 640
Moody, AL 35004-0640
Phone (205) 640-2020

Other identifiers 1

IdentifierTypeStateIssuer
529905490MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20100917000047 AL Practitioner - Optometry 4688799406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare Associates, Inc.Group PAC ID 0749254001, 52 clinicians

Practice addresses (Care Compare)

2603 Moody Pkwy
Moody, AL 35004-3062
Phone (205) 640-2020

7880 Old Madison Pike
Madison, AL 35758-1435
Phone (256) 772-8711

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. CurrentSince May 10, 2017 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince May 10, 2017 Accepting new patients
Eyecare Associates, Inc. Past Accepting new patients
Eyecare Associates, Inc. Optometrist PastSince Aug 1, 2007 Accepting new patients
Eyecare Associates, Inc. Optometrist Past Accepting new patients

Locations

210 Bob Wallace Ave SW
Huntsville, AL 35801
Phone (256) 539-3454

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

4219 Cottage Hill Rd
Mobile, AL 36609
Phone (251) 661-6100

2603 Moody Pkwy
Moody, AL 35004
Phone (205) 640-2020

9821 Old Highway 31
Warrior, AL 35180
Phone (205) 647-3937

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

Interoperability endpoints

  • Direct secure messaging: ghively@direct.eyecare-partners.com

Organizations & group practices 6

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1619968385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350040640",
            "telephone_number": "205-640-2020",
            "fax_number": "205-640-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 MOODY PKWY",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350043027",
            "telephone_number": "205-640-2020",
            "fax_number": "205-640-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIVELY",
        "first_name": "GREGORY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S945TA510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529905490",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moody, AL

Sources for this page

Verify at the official NPI Registry.