HUBBARD EYE CLINIC (SABRE AYERS WRIGHT, OD PLLC) NPI 1487180253

Optometrist in Marshall, AR

NPI 1487180253 Organization Optometrist CLIA Number 04D1092735 CLIA Certificate of Waiver

About HUBBARD EYE CLINIC (SABRE AYERS WRIGHT, OD PLLC)

Hubbard Eye Clinic (sabre Ayers Wright, Od Pllc) is a provider established in Marshall, Arkansas specializing in optometrist. The NPI number of Hubbard Eye Clinic (sabre Ayers Wright, Od Pllc) is 1487180253 and was assigned on May 2017. The practitioner's primary taxonomy code is 152W00000X with license number 2445 (AR). The provider is registered as an organization and their NPI record was last updated 5 years ago. Hubbard Eye Clinic (sabre Ayers Wright, Od Pllc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Hubbard Eye Clinic. The authorized official of this NPI record is Sabre Ayers Wright Od (President)

The CLIA number of Hubbard Eye Clinic is 04D1092735 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Hubbard Eye Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1487180253

Provider NameHUBBARD EYE CLINIC (SABRE AYERS WRIGHT, OD PLLC)
Provider Location Address300 GLADE ST MARSHALL, AR 72650
Provider Mailing Address300 GLADE ST MARSHALL, AR 72650
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameHUBBARD EYE CLINIC
Other Name TypeDoing Business As (3)
Enumeration Date05-11-2017
Last Update Date05-11-2017


Primary Taxonomy

Taxonomy Code152W00000X
ClassificationOptometrist
TypeEye and Vision Services Providers
License No.2445
License StateAR
Taxonomy DescriptionDoctors 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.

Business Address

HUBBARD EYE CLINIC
300 GLADE ST
MARSHALL, AR
ZIP 72650
Phone: (870) 448-2084
Fax: (870) 448-5914

Get Directions


Mailing Address

HUBBARD EYE CLINIC
300 GLADE ST
MARSHALL, AR
ZIP 72650
Phone: (870) 448-2084
Fax: (870) 448-5914



Authorized Official

Authorized Official Name SABRE AYERS WRIGHT OD
Authorized Official TitlePRESIDENT
Authorized Official Phone(870) 448-2084

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1487180253 is:

CLIA Number04D1092735
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.