Jacob Wyley Hiscox, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1643 Issued in AZ

Practice address

7402 E Broadway Blvd
Tucson, AZ 85710-1411

Phone

(520) 885-2052

Fax

(520) 886-7488

NPI assigned

Oct 24, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

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 2

Specialty

Optometry

Education

Southern California College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hiscox Optometry PLLCGroup PAC ID 4880881606, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Hiscox Optometry P.L.L.C.

  • Optometrist
  • Tucson, AZ
  • NPI 1215247184
  Medicare reassignment Care Compare group NPD Authorized official
• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment NPD
• University Optometry, PLLC

  • Optometrist
  • Tucson, AZ
  • NPI 1083125850
  NPD Authorized official
• San Carlos Apache Healthcare Corporation

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1811140643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8456 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104010",
            "telephone_number": "520-885-2052",
            "fax_number": "520-886-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857101411",
            "telephone_number": "520-885-2052",
            "fax_number": "520-886-7488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 E Fort Lowell Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857192395",
            "country_code": "US",
            "telephone_number": "520-325-8700",
            "fax_number": "520-462-8730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HISCOX",
        "first_name": "JACOB",
        "middle_name": "WYLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fabiane Hirsch Kruse, PH.D.
• Kandy R Hirsch, MA, LMHC, LAC
• Richard Clark Hirschhorn, M.D.
• Hirsh'S Shoes Inc
• Hiscox Optometry P.L.L.C.
• Jamie Holliday Hiscox, O.D.
• Hishaw & Abramian PLLC
• Georg A. Hishaw, M.D.
• Laila Baharloo Hishaw, D.D.S.
• John Michael Hitt, M.D.

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.