Individual provider Active NPI

Gary Carl Hubbard, O.D.

  • Optometrist
  • Norton, VA
National Provider Identifier
1841249828
Registry record updated Nov 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001562 Issued in VA
Practice address
608 Trent St NE
Norton, VA 24273-1532
Phone
(276) 679-0536
Fax
(206) 279-9117
NPI assigned
May 8, 2006
Last updated
Nov 10, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001562 VA Primary

Addresses

Primary practice location

608 Trent St NE
Norton, VA 24273-1532

Mailing address

608 Trent St NE
Norton, VA 24273-1532
Phone (276) 679-0536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060307000646 VA Practitioner - Optometry 7810904455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

608 Trent St NE
Norton, VA 24273-1532
Phone (276) 679-0536

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001562VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Optometry Group, PLLC Optometrist CurrentSince Apr 17, 2006 Accepting new patients
Betsy a Rose Past Accepting new patients
Betsy a Rose Past Accepting new patients

Locations

608 Trent St NE
Norton, VA 24273
Phone (276) 679-0536

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, 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": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194652800000",
    "number": "1841249828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 TRENT ST NE",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731532",
            "telephone_number": "276-679-0536",
            "fax_number": "206-279-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 TRENT ST NE",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731532",
            "telephone_number": "276-679-0536",
            "fax_number": "206-279-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "GARY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.