Individual provider Active NPI

David Steve Hobbs, O.D.

  • Optometrist
  • Ardmore, OK
National Provider Identifier
1790710101
Registry record updated May 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
894 Issued in OK
Practice address
1203 W Broadway St
Ardmore, OK 73401-2818
Phone
(580) 226-5858
Fax
(580) 223-1476
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 894 OK Primary

Addresses

Primary practice location

1203 W Broadway St
Ardmore, OK 73401-2818

Mailing address

1203 W Broadway St
Ardmore, OK 73401-2835
Phone (580) 226-5858

Other identifiers 2

IdentifierTypeStateIssuer
100764850AMedicaidOK
731021922OtherOKTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20041115000696 OK Practitioner - Optometry 4880658350 Practice locations: Ardmore, OK

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 W Broadway St
Ardmore, OK 73401-2835
Phone (580) 226-5858

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
894OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David Steve Hobbs Optometrist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1790710101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 W BROADWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012835",
            "telephone_number": "580-226-5858",
            "fax_number": "580-223-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 W BROADWAY ST",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012818",
            "telephone_number": "580-226-5858",
            "fax_number": "580-223-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "DAVID",
        "middle_name": "STEVE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100764850A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "731021922",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.