Individual provider Active NPI

Jacob Hughes, OD

  • Optometrist
  • Greensboro, NC
National Provider Identifier
1902655251
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2845 Issued in NC
Practice address
3707 Battleground Ave Ste C
Greensboro, NC 27410-2543
Phone
(336) 565-2010
NPI assigned
May 17, 2024
Last updated
Mar 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2845 NC Primary

Addresses

Primary practice location

3707 Battleground Ave Ste C
Greensboro, NC 27410-2543

Mailing address

3707 Battleground Ave Ste C
Greensboro, NC 27410-2543
Phone (336) 565-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250610002097 NC Practitioner - Optometry 9032629936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2024
Medicare assignment
May accept Medicare assignment
Group practices
New Garden Eye Care OD PLLCGroup PAC ID 0840601183, 3 clinicians

Practice addresses (Care Compare)

3707 Battleground Ave
Suite C
Greensboro, NC 27410-2543
Phone (336) 314-0747

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2845NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New Garden Eye Care OD PLLC Optometrist CurrentSince Mar 17, 2025 Accepting new patients

Locations

3707 Battleground Ave
Ste C
Greensboro, NC 27410
Phone (336) 314-0747

Interoperability endpoints

  • Direct secure messaging: jacob.hughes@uprisedirect.com

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, 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": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741478400000",
    "number": "1902655251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 BATTLEGROUND AVE STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102543",
            "telephone_number": "336-565-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3707 BATTLEGROUND AVE STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102543",
            "telephone_number": "336-565-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-17",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.