Individual provider Active NPI

Gerald P Lubert, O.D.

  • Optometrist
  • Knoxville, TN
National Provider Identifier
1972572899
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0943 Issued in TN
Practice address
1932 Alcoa Hwy Ste 255
Knoxville, TN 37920-1508
Phone
(865) 244-2030
Fax
(865) 684-1196
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 0943 TN
Optometrist 152W00000X 0943 TN Primary

Addresses

Primary practice location

1932 Alcoa Hwy Ste 255
Knoxville, TN 37920-1508

Mailing address

1932 Alcoa Hwy
Ste 255
Knoxville, TN 37920-1508
Phone (865) 244-2030

Other identifiers 7

IdentifierTypeStateIssuer
2240396OtherUNITED HEALTHCARE
3333333OtherUMWA
410030911OtherRAILROAD MEDICARE
5928759OtherCIGNA
100026729OtherPHP
3599503MedicaidTN
86314OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20071009000367 TN Practitioner - Optometry 1850486614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Eye Specialists, P.C.Group PAC ID 0941278709, 15 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite C255
Knoxville, TN 37920-1508
Phone (865) 244-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0943TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University Eye Surgeons, P.C. CurrentSince Jan 1, 2007 Accepting new patients
University Eye Specialists, PC Corneal and Contact Management CurrentSince Jan 1, 2007 Accepting new patients
University Eye Specialists, P.C. Optometrist Past Accepting new patients

Locations

140 Capital Dr
Ste 120
Knoxville, TN 37922
Phone (865) 244-2020

1932 Alcoa Hwy
Ste 255
Knoxville, TN 37920
Phone (865) 244-2030

1928 Alcoa Hwy
Ste 324
Knoxville, TN 37920
Phone (865) 524-9871

1932 Alcoa Hwy
Ste C255
Knoxville, TN 37920
Phone (865) 244-2020

2547 Willow Point Way
Knoxville, TN 37931
Phone (865) 244-2020

622 Smithview Dr
Maryville, TN 37803
Phone (865) 244-2020

Interoperability endpoints

  • Direct secure messaging: glubert@universityeye.direct.eyemdemr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1972572899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY",
            "address_2": "STE 255",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201508",
            "telephone_number": "865-244-2030",
            "fax_number": "865-684-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 ALCOA HWY STE 255",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379201508",
            "telephone_number": "865-244-2030",
            "fax_number": "865-684-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBERT",
        "first_name": "GERALD",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TN",
            "license": "0943",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2240396",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "3333333",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410030911",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5928759",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "100026729",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3599503",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.