Individual provider Active NPI

Chris L Hubbell, O.D.

  • Optometrist
  • Eau Claire, WI
National Provider Identifier
1962561787
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1672 Issued in WI
Practice address
2130 Brackett Ave
Suite a
Eau Claire, WI 54701-4927
Phone
(715) 832-7489
Fax
(751) 830-5452
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1672 WI Primary

Addresses

Primary practice location

2130 Brackett Ave
Suite a
Eau Claire, WI 54701-4927

Mailing address

2130 Brackett Ave
Suite a
Eau Claire, WI 54701-4927
Phone (715) 832-7489

Other identifiers 2

IdentifierTypeStateIssuer
38509900MedicaidWI
38968OtherWISECURITY HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20100614000075 WI Practitioner - Optometry 6901936293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2130 Brackett Ave
Suite a
Eau Claire, WI 54701-4928
Phone (715) 832-7489

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hubbell Eye Clinic, S.C. Optometrist CurrentSince Sep 24, 1979 Accepting new patients

Locations

2130 Brackett Ave
Ste A
Eau Claire, WI 54701
Phone (715) 832-7489

2130 Brackett Ave
Eau Claire, WI 54701
Phone (715) 832-2292

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1962561787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 BRACKETT AVE",
            "address_2": "SUITE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014927",
            "telephone_number": "715-832-7489",
            "fax_number": "751-830-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 BRACKETT AVE",
            "address_2": "SUITE A",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014927",
            "telephone_number": "715-832-7489",
            "fax_number": "751-830-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBELL",
        "first_name": "CHRIS",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38509900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "38968",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.