Individual provider Active NPI

William Andrew Hubbard, MD

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1801802723
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9055 Issued in OK
Practice address
3366 NW Expressway Ste 750
Oklahoma City, OK 73112-4454
Phone
(405) 948-2020
Fax
(405) 948-2760
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9044 OK
Retina Specialist (Ophthalmology) Physician 207WX0107X 9055 OK
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0107X 9044 OK
Ophthalmology Physician 207W00000X 9055 OK Primary

Addresses

Primary practice location

3366 NW Expressway Ste 750
Oklahoma City, OK 73112-4454

Mailing address

6600 Avondale Dr
Nichols Hills, OK 73116-6018
Phone (405) 627-2762

Other practice location 1

3431 S Boulevard Ste 105
Edmond, OK 73013-5514
Phone (405) 562-2036

Other identifiers 1

IdentifierTypeStateIssuer
100116730AMedicaidOK

Other names 1

  • Dr. William Andrew Hubbard Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Whubbard@orc.intellechart.direct.net Health Information Exchange (HIE)

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081230000161 OK Practitioner - Ophthalmology 1456413434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Thomas Wolf and Associates PLLC Single Specialty CurrentSince Aug 1, 2013 Accepting new patients
Oklahoma Retina Consultants PC Single Specialty CurrentSince Jun 23, 2008 Accepting new patients
Eyes LTD, PC Single Specialty Past Accepting new patients

Locations

3431 S Boulevard
Ste 105
Edmond, OK 73013
Phone (405) 341-6941

123 N Mustang Rd
Mustang, OK 73064
Phone (405) 376-0222

3366 NW Expressway St
Ste 750
Oklahoma City, OK 73112
Phone (405) 948-2020

Interoperability endpoints

  • Direct secure messaging: whubbard@orc.direct.iopracticeware.com
  • Direct secure messaging: whubbard@orc.intellechart.direct.net

Organizations & group practices 3

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1801802723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 AVONDALE DR",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731166018",
            "telephone_number": "405-627-2762",
            "fax_number": "405-478-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 NW EXPRESSWAY STE 750",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124454",
            "telephone_number": "405-948-2020",
            "fax_number": "405-948-2760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3431 S Boulevard Ste 105",
            "address_purpose": "LOCATION",
            "city": "Edmond",
            "state": "OK",
            "postal_code": "730135514",
            "country_code": "US",
            "telephone_number": "405-562-2036",
            "fax_number": "405-562-2116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "9044",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OK",
            "license": "9055",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OK",
            "license": "9044",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "9055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116730A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Whubbard@orc.intellechart.direct.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3366 NW Expressway Ste 750",
            "city": "Oklahoma City",
            "state": "OK",
            "country_code": "US",
            "postal_code": "731124454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "HUBBARD",
            "middle_name": "ANDREW",
            "prefix": "DR.",
            "credential": "W. ANDREW HUBBARD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.