PAUL C JUBB O.D.
NPI 1164687992
Optometrist in Mount Vernon, WA

Q: What is Dr. Paul C Jubb PLLC's NPI number?

The NPI number for Dr. Paul C Jubb PLLC is 1164687992. It was assigned to this organization in the NPPES registry on July 21, 2008. The provider is doing business as Paul C Jubb O.D..

Q: What is Dr. Paul C Jubb PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since July 21, 2008

2301 FREEWAY DR, MOUNT VERNON, WA 98273(360) 428-5033 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Paul C Jubb O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL C JUBB O.D. (NPI 1164687992) is a healthcare organization registered as an optometrist in Mount Vernon, Washington and active in the NPI registry since July 2008. The organization lists Paul Clarence Jubb, President, as its authorized official.

NPPES Registry Identity

NPI1164687992

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDR. PAUL C JUBB PLLC

Location Address2301 FREEWAY DRMount Vernon, WA 98273-5445

Mailing Address1146 Hobson StWalla Walla, WA 99362-2455

Phone(360) 428-5033

Organization SubpartNo

Authorized OfficialPaul Clarence JubbPresident · (509) 240-4343

Enumeration DateJuly 21, 2008

Last NPPES UpdateMay 30, 2019

✔ NPI 1164687992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OR · 1850 ATI

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2301 FREEWAY DR, Mount Vernon, WA 98273

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Other Names 1

Doing Business AsPaul C Jubb O.d.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul C Jubb O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Paul C Jubb O.D., which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Jubb, OD

Optometry

NPI 1285739466

2301 FREEWAY DR
Mount Vernon, WA 98273

(360) 482-5033

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Paul C Jubb PLLC's NPI number?

The NPI number for Dr. Paul C Jubb PLLC is 1164687992. It was assigned to this organization in the NPPES registry on July 21, 2008. The provider is doing business as Paul C Jubb O.D..

Where is Dr. Paul C Jubb PLLC located?

Dr. Paul C Jubb PLLC is located at 2301 Freeway Dr, Mount Vernon, WA 98273. The listed phone number is (360) 428-5033.

What is Dr. Paul C Jubb PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Dr. Paul C Jubb PLLC enrolled in Medicare?

Yes. Dr. Paul C Jubb PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Paul C Jubb PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Dr. Paul C Jubb PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr. Paul C Jubb PLLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and Premera Blue Cross Blue Shield of Alaska list Dr. Paul C Jubb PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dr. Paul C Jubb PLLC was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.