Organization Active NPI

Hubbard Eye Clinic

  • Optometrist
  • Harrison, AR
National Provider Identifier
1790750511
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HUBBARD EYE CLINIC
Practice address
519 N Willow St
Harrison, AR 72601-3518
Phone
(870) 741-2787
Fax
(870) 741-6714
NPI assigned
Feb 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Kenneth N Hubbard Jr., OD
Title
Owner
Phone
(870) 741-2787

Specialties & licenses 1

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

Addresses

Primary practice location

519 N Willow St
Harrison, AR 72601-3518

Mailing address

519 N Willow St
PO Box 2417
Harrison, AR 72601-3518
Phone (870) 741-2787

Other identifiers 3

IdentifierTypeStateIssuer
142170722MedicaidAR
CH8765OtherARTRAVELERS/RAILROAD MEDICARE
410012113OtherARRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1790750511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 N WILLOW ST",
            "address_2": "PO BOX 2417",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013518",
            "telephone_number": "870-741-2787",
            "fax_number": "870-741-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N WILLOW ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013518",
            "telephone_number": "870-741-2787",
            "fax_number": "870-741-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBBARD EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-741-2787",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142170722",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS/RAILROAD MEDICARE",
            "identifier": "CH8765",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410012113",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.