Samuel R Hobbs, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1905 Issued in NC

Practice address

2805 Village Way
Trent Woods, NC 28562-7351

Phone

(252) 633-0016

Fax

(252) 636-3895

NPI assigned

Aug 14, 2006

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

Other identifiers 2

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

C and S Optometric Services PLLCGroup PAC ID 1153363254, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.83 of 100Reported as group

Quality

55.66

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.hobbs@direct.revolutionehr.com

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.

• C & S Optometric Services PLLC

  • Optometrist
  • Alliance, NC
  • NPI 1164563938

  NC, Optometrist

  Medicare reassignment Care Compare group NPD
• C & S Optometric Services, PLLC

  • Optometrist
  • New Bern, NC
  • NPI 1336280544

  NC, Optometrist

  Medicare reassignment Care Compare group NPD
• C & S Optometric Services PLLC

  • Optometrist
  • New Bern, NC
  • NPI 1619661600
  NPD
• Clear View Eye Care OD PA

  • Optometrist
  • Charlotte, NC
  • NPI 1417391004
  NPD
• Clear View Eye Care, OD, PA

  • Optometrist
  • Matthews, NC
  • NPI 1689870842
  NPD
• Hobbs Optometry, PA

  • Optometrist
  • Mooresville, NC
  • NPI 1467465328
  NPD
• C & S Optometric Services PLLC

  • Eyewear Supplier
  • Alliance, NC
  • NPI 1184766644
  NPD (past)
• Walter F Peterson OD PC

  • Optometrist
  • Cleveland, TN
  • NPI 1962695916
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1922011980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 VILLAGE WAY",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627351",
            "telephone_number": "252-633-0016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 VILLAGE WAY",
            "city": "TRENT WOODS",
            "state": "NC",
            "postal_code": "285627351",
            "telephone_number": "252-633-0016",
            "fax_number": "252-636-3895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13820 HWY 55 E",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "NC",
            "postal_code": "28509",
            "country_code": "US",
            "telephone_number": "252-745-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "SAMUEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA IND. PROV#",
            "identifier": "093T8",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901988",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Gaskins, PTA
• Charles Donald Godwin, MD
• Christin Adkins Grady, SLP MS CCCSLP
• Heather Shepard Harrison, LCMHCA
• Robert Bryan Harrison, DMD
• Sheila J. Honeycutt, FNP
• Jeffery R. Thomas, DDS, PA
• Jennifer Benfield Jessup, PA
• Christine Judith Kerrigan, MS RD LDN
• Jody L King, PA

• All providers in Trent Woods, NC
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.