Physician Compare National (NPI:1194924043)

HEALTHCARE PROVIDER: GREGORY PAUL HUBBARD O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1194924043
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0547352395
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070823000900
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUBBARD
	Individual professional last name
Provider First Name	GREGORY
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1808 E MARKLAND AVE
	Group Practice or individual's line 1 address
City	KOKOMO
	Group Practice or individual's city
State	IN
	Group Practice or individual's state
Zip Code	469016234
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y