Individual provider Active NPI

Taylor Hibbs, OD

  • Optometrist
  • Bryan, TX
National Provider Identifier
1922594654
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9494T Issued in TX
Practice address
3201 University Dr E Ste 140
Bryan, TX 77802-3487
Phone
(979) 731-8446
Fax
(979) 731-8275
NPI assigned
Jul 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9494T TX Primary

Addresses

Primary practice location

3201 University Dr E Ste 140
Bryan, TX 77802-3487

Mailing address

3201 University Dr E Ste 140
Bryan, TX 77802-3487
Phone (979) 731-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20200416003349 WY Practitioner - Optometry 5890044754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ramsey Eye Care Center PCGroup PAC ID 2466467493, 2 clinicians

Practice addresses (Care Compare)

1151 Gateway Blvd
Suite 101
Rock Springs, WY 82901-6771
Phone (307) 382-3753

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9494TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ramsey Eye Care Center, P.C. Optometrist CurrentSince Apr 2, 2020 Accepting new patients

Locations

1151 Gateway Blvd
Ste 101
Rock Springs, WY 82901
Phone (307) 382-3753

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1922594654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 140",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023487",
            "telephone_number": "979-731-8446",
            "fax_number": "979-731-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 UNIVERSITY DR E STE 140",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023487",
            "telephone_number": "979-731-8446",
            "fax_number": "979-731-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBS",
        "first_name": "TAYLOR",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9494T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.